Individual
DR. DAYLE HARTGERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-2408
(719) 391-2336
(719) 391-1625
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
105618
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36136867
—
CO
01
—
DEN.00105618
CO DENTAL LICENSE
CO
Enumeration date
05/21/2008
Last updated
06/13/2019
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