Organization
ORTHODONTIC EXPERTS OF COLORADO, PLLC
Active
Parent organization
ORTHODONTIC EXPERTS OF COLORADO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC EXPERTS OF COLORADO
Authorized official
MONIKA BZDAL (MANAGER)
(773) 801-7171
Entity
Organization
Contact information
Practice address
1685 BRIARGATE BLVD STE B, COLORADO SPRINGS, CO 80920-3417
(847) 749-4340
Mailing address
1250 W NORTHWEST HWY, MOUNT PROSPECT, IL 60056-2274
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203373
—
CO
Enumeration date
12/26/2017
Last updated
12/12/2019
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