Organization
SBWE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FREYRE (INSURANCE/BILLING MANAGER)
(719) 424-4668
Entity
Organization
Contact information
Practice address
4185 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3767
(719) 424-4668
Mailing address
4185 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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