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Organization
WESTERN DENTAL GROUP OF ACADEMY BLVD
Active
Organization
WESTERN DENTAL GROUP OF ACADEMY BLVD
Active
Other names
Academy Blvd Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO RODRIGUEZ D.D.S. (OWNER)
(719) 596-3939
Entity
Organization
Contact information
Practice address
1304 N ACADEMY BLVD, SUITE 205, COLORADO SPRINGS, CO 80909-3325
(719) 596-8440
(719) 572-8934
Mailing address
1304 N ACADEMY BLVD, SUITE 205, COLORADO SPRINGS, CO 80909-3325
(719) 596-8440
(719) 572-8934
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
7181
CO
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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