Organization
AUSTINBLUFFS DENTAL PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFFER RENEE MARTINEZ DDS (OFFICE MANAGER)
(719) 591-1811
Entity
Organization
Contact information
Practice address
3952 NORTH ACADEMY, COLORADO SPRINGS, CO 80917
(719) 591-1811
(719) 591-2032
Mailing address
3952 N ACADEMY BLVD STE A, COLORADO SPRINGS, CO 80917-5910
(719) 591-1811
(719) 591-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9850
CO
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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