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Organization

CONSTITUTION DENTAL GROUP, LLP

Active
Other names
Constitution Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN C GARDNER DDS (OWNER)
(719) 280-0277
Entity
Organization

Contact information

Practice address
7935 CONSTITUTION AVENUE, SUITE 110, COLORADO SPRINGS, CO 80951
(719) 280-0277
(719) 387-0285
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/15/2016
Last updated
12/15/2016
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