Organization
DENTIFFERENT SOLUTIONS, PROF., LLC
Active
Other names
Pine Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL KNOERR THOMPSON DDS (OWNER)
(719) 268-9400
Entity
Organization
Contact information
Practice address
9475 BRIAR VILLAGE PT, SUITE 115, COLORADO SPRINGS, CO 80920-7901
(719) 268-9400
Mailing address
9475 BRIAR VILLAGE PT, SUITE 115, COLORADO SPRINGS, CO 80920-7901
(719) 268-9400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7811
CO
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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