Organization
MARK A. REINICKE, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. REINICKE D.D.S (DENTIST)
(719) 634-5864
Entity
Organization
Contact information
Practice address
1539 S 8TH ST, SUITE 101, COLORADO SPRINGS, CO 80906-1916
(719) 634-5864
Mailing address
3035 BLODGETT DR, COLORADO SPRINGS, CO 80919-4510
(719) 599-3174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7270
CO
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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