Organization
COLORADO DENTAL, PROFESSIONAL LLC
Active
Other names
Colorado Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS PEAK DDS (OWNER)
(719) 355-2700
Entity
Organization
Contact information
Practice address
3236 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4077
(719) 355-2700
Mailing address
3236 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4077
(719) 355-2700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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