COUNTRY CLUB DENTAL PA

TOPEKA, KS
NPI1699137109
Doing Business AsADVENTURE DENTAL AND VISION
Entity TypeOrganization
Authorized ContactSHAUN URBANOZO
Credentialing Manager
719-323-2362
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223G0001X Dentist, General Practice
Enumeration Date2016-03-23
Last Update Date2019-10-22
Business Address
COUNTRY CLUB DENTAL PA
400 SW 29TH ST SUITE M
TOPEKA, KS 66611-1164
Phone number: 785-783-5981
Mailing Address
COUNTRY CLUB DENTAL PA
2221 E BIJOU ST STE 100
COLORADO SPRINGS, CO 80909-8009
Phone number: 719-576-1850