Individual
DR. MADELAINE JOHNS DRISKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1508 N ROYER ST, COLORADO SPRINGS, CO 80907-7634
(719) 526-5537
Mailing address
1508 N ROYER ST, COLORADO SPRINGS, CO 80907-7634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10177
NC
1223G0001X
General Practice Dentistry
10177
NC
1223G0001X
General Practice Dentistry
Primary
DEN.00203099
CO
Other
Enumeration date
08/10/2015
Last updated
07/21/2022
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