COLORADO DENTAL SPECIALIST PRACTICE, LLC

COLORADO SPRINGS, CO
NPI1578117198
Doing Business AsCOLORADO DENTAL SPECIALISTS
Doing Business AsALL SMILES ORTHODONTICS
Doing Business AsCOLORADO ENDODONTIC GROUP
Entity TypeOrganization
Authorized ContactMICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
Additional Taxonomies1223E0200X Dentist, Endodontics
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2019-07-31
Last Update Date2019-07-31
Business Address
COLORADO DENTAL SPECIALIST PRACTICE, LLC
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906-8614
Phone number: 719-494-0718
Mailing Address
COLORADO DENTAL SPECIALIST PRACTICE, LLC
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906-8614
Phone number: 719-494-0718