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Organization

JJ ELEVATION, PLLC

Active
Other names
Elevation Endodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM JOHN MCKISSOCK DMD (ENDODONTIST)
(719) 357-1336
Entity
Organization

Contact information

Practice address
10012 COYOTE SONG TER, COLORADO SPRINGS, CO 80924-4504
(719) 357-1336
Mailing address
10012 COYOTE SONG TER, COLORADO SPRINGS, CO 80924-4504
(719) 357-1336

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
07/19/2019
Last updated
11/17/2023
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