Organization
PERFECT TEETH / MONUMENT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE K ARBUCKLE (CREDENTIALING SPECIALIST)
(303) 285-6098
Entity
Organization
Contact information
Practice address
1036 W BAPTIST RD, COLORADO SPRINGS, CO 80921-2402
(719) 488-0101
(719) 481-8282
Mailing address
1036 W BAPTIST RD, COLORADO SPRINGS, CO 80921-2402
(719) 488-0101
(719) 481-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
08/13/2013
Last updated
11/04/2013
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