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Organization
M&T DENTAL SERVICES
Active
Organization
M&T DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MONTANEZ DDS (OWNER)
(505) 467-9383
Entity
Organization
Contact information
Practice address
2859 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-2312
(719) 358-6379
Mailing address
10 RITO GUICU, SANTA FE, NM 87507-4301
(505) 467-9383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8039
CO
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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