Individual
DR. MARC ROBERT VANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
155 LAKE AVE STE 201, COLORADO SPRINGS, CO 80906-3706
(719) 375-5201
(844) 656-9696
Mailing address
155 LAKE AVE STE 201, COLORADO SPRINGS, CO 80906-3706
(719) 375-5201
(844) 656-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HD104909
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049096
—
CO
Enumeration date
09/28/2006
Last updated
04/15/2019
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