Organization
MARQUIS MOBILE DENTAL SERVICES OF COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY KHOO NAPPER PHARM. D. (ASSISTANT)
(901) 634-2982
Entity
Organization
Contact information
Practice address
8234 WINDING PASSAGE DR, COLORADO SPRINGS, CO 80924-8114
(901) 634-2982
Mailing address
PO BOX 332640, MURFREESBORO, TN 37133-2640
(615) 225-0938
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568553105
—
CO
Enumeration date
06/15/2018
Last updated
06/15/2018
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