Individual
CARISSA MICHELLE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 FALCON PKWY, COLORADO SPRINGS, CO 80912-5005
(719) 556-5898
Mailing address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
(719) 556-5898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24712
TX
1223G0001X
General Practice Dentistry
Primary
MSDEN00000003
CO
Other
Enumeration date
07/14/2009
Last updated
02/10/2022
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