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Individual

DR. HERBERT KEYES TOWNSEND JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1685 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-3464
(719) 528-7022
Mailing address
1685 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-3464
(719) 528-7022

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5564
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5564
COLORADO STATE DENTAL LICENSE
CO
Enumeration date
02/08/2011
Last updated
02/08/2011
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