Organization
STATE BOARD FOR COMMUNITY COLLEGES AND OCCUPATIONAL EDUCATION
Active
Parent organization
PIKES PEAK STATE COLLEGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIKES PEAK STATE COLLEGE
Authorized official
EWA POSORSKI (DENTAL CENTER DIRECTOR)
(719) 502-3437
Entity
Organization
Contact information
Practice address
11125 CROSS PEAK VW, COLORADO SPRINGS, CO 80921-3420
(719) 502-3437
Mailing address
11125 CROSS PEAK VW, COLORADO SPRINGS, CO 80921-3420
(719) 502-3437
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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