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Organization

ALLIANCE FAMILY DENTISTRY PLLC

Active
Other names
Alliance Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
ANGEL GIMENEZ GIMENEZ (CREDENTIALING SENIOR MANAGER)
(719) 300-5933
Entity
Organization

Contact information

Practice address
6140 TUTT BLVD STE 150, COLORADO SPRINGS, CO 80923-3574
(719) 955-4023
Mailing address
6140 TUTT BLVD STE 150, COLORADO SPRINGS, CO 80923-3574
(719) 955-4023

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/23/2020
Last updated
03/27/2026
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