Organization
ROTA ADVANCED DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ROTA (OWNER)
(719) 598-1224
Entity
Organization
Contact information
Practice address
6210 WOODMEN PARK VW, COLORADO SPRINGS, CO 80923-2616
(719) 598-1224
(719) 531-9430
Mailing address
6210 WOODMEN PARK VW, COLORADO SPRINGS, CO 80923-2616
(719) 598-1224
(719) 531-9430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104340
CO
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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