Organization
ROCKY MOUNTAIN PERIODONTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL LACKLER DDS,MS (PERIODONTIST)
(719) 574-4867
Entity
Organization
Contact information
Practice address
685 CITADEL DR E, SUITE 200, COLORADO SPRINGS, CO 80909-5314
(719) 574-4867
(719) 596-7820
Mailing address
685 CITADEL DR E, SUITE 200, COLORADO SPRINGS, CO 80909-5314
(719) 574-4867
(719) 596-7820
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
7405
CO
1223P0300X
Periodontics
Primary
8251
CO
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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