ICONIC DENTAL INC is a general practice dentist in Walsenburg, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ICONIC DENTAL INC NPI is 1497103691. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
624 MAIN ST
WALSENBURG, CO
ZIP 81089-136
Phone: (719) 695-1004
Fax: (719) 695-1006
The provider's authorized official is Taci Cooper .
The authorized official title is Office Manager and has the following contact phone number (719) 241-3140.
The enumeration date for this NPI number is 5/27/2016 and was last updated on 5/27/2016.