Organization
MILES C. HUMBLE, LLC
Active
Other names
Humble Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE MINNICH M.B.A (CLINICAL COORDINATOR)
(719) 576-6551
Entity
Organization
Contact information
Practice address
202 E CHEYENNE MOUNTAIN BLVD, STE. E, COLORADO SPRINGS, CO 80906-3769
(719) 576-6551
(719) 576-8722
Mailing address
202 E CHEYENNE MOUNTAIN BLVD, STE. E, COLORADO SPRINGS, CO 80906-3769
(719) 576-6551
(719) 576-8722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9877
CO
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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