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1790140010
DENTERUS DENTAL LAB
COLORADO SPRINGS, CO
NPI
1790140010
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Entity Type
Organization
Authorized Contact
MICHAEL ROBERT BULL
Owner
719-301-5300
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 00201875)
Enumeration Date
2015-12-31
Last Update Date
2015-12-31
Business Address
DENTERUS DENTAL LAB
3208 N ACADEMY BLVD SUITE 140
COLORADO SPRINGS, CO 80917-5161
Phone number: 719-301-5300
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Mailing Address
DENTERUS DENTAL LAB
3208 N ACADEMY BLVD SUITE 140
COLORADO SPRINGS, CO 80917-5161
Phone number: 719-301-5300
Copy
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