Organization
PERFECT TEETH - WOODMAN VALLEY P.C.
Active
Other names
Perfect Teeth - Woodman Valley P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
3574 HARTSEL DR, UNIT C, COLORADO SPRINGS, CO 80920-2108
(719) 266-9868
(719) 266-0889
Mailing address
3574 HARTSEL DR, UNIT C, COLORADO SPRINGS, CO 80920-2108
(719) 266-9868
(719) 266-0889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/03/2007
Last updated
04/07/2010
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