Organization
CHEYENNE MOUNTAIN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C. GRANT D.D.S. (DENTIST)
(719) 576-3276
Entity
Organization
Contact information
Practice address
3605 STAR RANCH RD, COLORADO SPRINGS, CO 80906-5980
(719) 576-3276
Mailing address
3605 STAR RANCH RD, COLORADO SPRINGS, CO 80906-5980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104218
CO
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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