Organization
CROSSROADS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN TYNG D.M.D (DENTIST)
(719) 596-3481
Entity
Organization
Contact information
Practice address
1079 SPACE CENTER DR, SUITE 100, COLORADO SPRINGS, CO 80915-3612
(719) 596-3481
(719) 596-9114
Mailing address
1079 SPACE CENTER DR, SUITE 100, COLORADO SPRINGS, CO 80915-3612
(719) 596-3481
(719) 596-9114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10399
CO
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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