Individual
MARK D. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7770 N UNION BLVD, COLORADO SPRINGS, CO 80920-4087
(719) 594-9797
(719) 594-6713
Mailing address
7770 N UNION BLVD, COLORADO SPRINGS, CO 80920-4087
(719) 594-9797
(719) 594-6713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6760
NE DENTAL LICENSE
NE
01
—
9700
COLORADO DENTAL LICENSE
CO
Enumeration date
08/18/2008
Last updated
11/30/2011
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