Organization
COLORADO SPRINGS EMERGENCY DENTAL CARE USA MANAGEMENT INC.
Active
Other names
Emergency Denatl Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OBENG DDS (PRESIDENT)
(402) 393-2726
Entity
Organization
Contact information
Practice address
6531 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-8342
(719) 302-3143
Mailing address
4245 S 143RD CIR, SUITE 7, OMAHA, NE 68137-4516
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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