MY LOCAL COLORADO DENTAL PRACTICE, LLC

COLORADO SPRINGS, CO
NPI1912551672
Entity TypeOrganization
Authorized ContactMICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2019-07-30
Last Update Date2019-07-30
Business Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
5910 STETSON HILLS BLVD STE 110
COLORADO SPRINGS, CO 80923-3580
Phone number: 719-694-0400
Mailing Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
5910 STETSON HILLS BLVD STE 110
COLORADO SPRINGS, CO 80923-3580
Phone number:
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