Organization
PERFECT TEETH - CHEYENNE MEADOWS P.C.
Active
Other names
Perfect Teeth - Cheyenne Meadows P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE K. SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
827 CHEYENNE MEADOWS RD, COLORADO SPRINGS, CO 80906-4929
(719) 579-8799
(719) 579-6654
Mailing address
827 CHEYENNE MEADOWS RD, COLORADO SPRINGS, CO 80906-4929
(719) 579-8799
(719) 579-6654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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