NPI | 1699440081 |
---|---|
Doing Business As | HIGHLANDS SIGNATURE DENTAL |
Entity Type | Organization |
Authorized Contact | DOMONIQUE COLEMAN General Dentist 719-468-6094 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-08-09 |
Last Update Date | 2021-08-09 |