Individual
CONSTANCE MADJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 N CASCADE AVE, COLORADO SPRINGS, CO 80903-3211
(719) 633-3366
Mailing address
10917 HIDDEN PRAIRIE PKWY, FOUNTAIN, CO 80817-7263
(719) 565-7388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
203122
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2016
Last updated
10/13/2021
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