Individual
CAROL ELAINE MARSHALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.D.
Contact information
Practice address
6025 ERIN PARK DR, SUITE B, COLORADO SPRINGS, CO 80918-5400
(719) 531-7111
(719) 531-7129
Mailing address
6025 ERIN PARK DR, SUITE B, COLORADO SPRINGS, CO 80918-5400
(719) 531-7111
(719) 531-7129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6213
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02062131
—
CO
Enumeration date
03/10/2006
Last updated
07/09/2007
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