| NPI | 1982112934 |
|---|---|
| Doing Business As | BLUE SPRINGS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL COUGHLIN Owner 719-394-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |