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Organization

COLORADO SPRINGS SLEEP AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY BARDIN MOORE DDS (OWNER/DENTIST)
(719) 475-2511
Entity
Organization

Contact information

Practice address
595 CHAPEL HILLS DR STE 105, COLORADO SPRINGS, CO 80920-1024
(719) 475-2511
(719) 475-8425
Mailing address
595 CHAPEL HILLS DR STE 105, COLORADO SPRINGS, CO 80920-1024
(719) 475-2511
(719) 475-8425

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106234
STATE LICENSE
CO
Enumeration date
02/22/2019
Last updated
02/22/2019
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