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Organization

CITADEL DENTAL PARTNERS PROF LLP

Active
Other names
Comfort Dental Citadel Crossing
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN ANDERSON DDS (DENTIST)
(719) 591-7599
Entity
Organization

Contact information

Practice address
509 NORTH ACADEMY BLVD, COLORADO SPRINGS, CO 80909
(719) 591-7599
(719) 622-9809
Mailing address
733 N. ACADEMY BLVD., COLORADO SPRINGS, CO 80909
(719) 591-7599
(719) 622-9809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7044
CO
122300000X
Dentist
8890
CO
122300000X
Dentist
9213
CO

Other

Enumeration date
09/21/2006
Last updated
09/07/2021
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