| NPI | 1326146309 |
|---|---|
| Doing Business As | COMFORT DENTAL CITADEL CROSSING |
| Entity Type | Organization |
| Authorized Contact | BRIAN ANDERSON Dentist 719-591-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 7044) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 8890) |
| 122300000X Dentist (Licence: CO 9213) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-09-07 |