COLORADO DENTAL SPECIALIST PRACTICE, LLC

COLORADO SPRINGS, CO
NPI1649825886
Doing Business AsCOLORADO DENTAL SPECIALISTS
Doing Business AsALL SMILES ORTHODONTICS
Doing Business AsCOLORADO ENDODONTIC GROUP
Doing Business AsCOLORADO ORAL SURGERY GROUP
Entity TypeOrganization
Authorized ContactMICHELLE JOHNSON
Credentialing Specialists
509-315-8338
Organization Subpart ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Additional Taxonomies1223E0200X Dentist, Endodontics
1223P0300X Dentist, Periodontics
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2019-08-05
Last Update Date2019-09-12
Business Address
COLORADO DENTAL SPECIALIST PRACTICE, LLC
6110 BARNES RD
COLORADO SPRINGS, CO 80922-2600
Phone number: 719-630-3366
Mailing Address
COLORADO DENTAL SPECIALIST PRACTICE, LLC
6110 BARNES RD
COLORADO SPRINGS, CO 80922-2600
Phone number: 719-630-3366