Organization
WESTSIDE FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNA PURINSH DDS (PRESIDENT)
(719) 633-0999
Entity
Organization
Contact information
Practice address
1330 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4023
(719) 633-0999
Mailing address
1330 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4023
(719) 633-0999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CO104568
CO
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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