Organization
GEORGE S. DOUVAS D.D.S. PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S. DOUVAS D.D.S. (OWNER/PRESIDENT)
(303) 567-0840
Entity
Organization
Contact information
Practice address
102 SPRUCE LN, IDAHO SPRINGS, CO 80452-8500
(303) 567-0840
Mailing address
PO BOX 420, 102 SPRUCE LANE, IDAHO SPRINGS, CO 80452-0420
(303) 567-0840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6672
CO
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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