Organization
DORSEY DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY DORSEY BALTHAZOR DDS (PRESIDENT)
(719) 687-6366
Entity
Organization
Contact information
Practice address
491 FOREST EDGE RD, WOODLAND PARK, CO 80863-2499
(719) 687-6366
Mailing address
491 FOREST EDGE RD, WOODLAND PARK, CO 80863-2499
(719) 687-6366
(719) 687-6388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5456
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457453151
NPI
CO
Enumeration date
08/16/2007
Last updated
08/16/2007
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