Organization
KIM M. LOOK, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM M LOOK DDS (DENTIST/OWNER)
(719) 392-3448
Entity
Organization
Contact information
Practice address
1885 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-4511
(719) 392-3448
(719) 392-3449
Mailing address
1885 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-4511
(719) 392-3448
(719) 392-3449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6211
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466338
UNITED CONCORDIA
CO
01
—
6211
DELTA DENTAL CO
CO
Enumeration date
05/27/2008
Last updated
05/27/2008
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