Organization
PRESTIGE DENTAL COLORADO SPRINGS, PLLC
Active
Other names
Prestige Dental Center Colorado Springs
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
3208 N ACADEMY BLVD STE 110, COLORADO SPRINGS, CO 80917-5171
(719) 597-3700
(719) 414-0027
Mailing address
3208 N ACADEMY BLVD STE 110, COLORADO SPRINGS, CO 80917-5171
(719) 597-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
04/09/2024
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