Organization
DENTAL HOLDINGS, P.C., DBA MOUNTAIN SHADOWS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT RIVARD DMD (DENTIST)
(719) 598-3502
Entity
Organization
Contact information
Practice address
1045 GARDEN OF THE GODS RD STE N, COLORADO SPRINGS, CO 80907-3436
(719) 598-3502
(719) 598-9264
Mailing address
1045 GARDEN OF THE GODS RD STE N, COLORADO SPRINGS, CO 80907-3436
(719) 598-3502
(719) 598-9264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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