Individual
DOUGLAS COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9240 EXPLORER DR, SUITE110, COLORADO SPRINGS, CO 80920-5003
(719) 599-0110
Mailing address
9240 EXPLORER DR, SUITE110, COLORADO SPRINGS, CO 80920-5003
(719) 599-0110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6053
CO
Other
Enumeration date
02/07/2007
Last updated
03/24/2011
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