Individual
MACKENZIE KATHLEEN SCHUMBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9625 PROMINENT PT STE 100, COLORADO SPRINGS, CO 80924-5005
(719) 495-5748
Mailing address
2436 RAYWOOD VW APT 221, COLORADO SPRINGS, CO 80920-7741
(734) 474-4412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204470
CO
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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