Organization
THOMAS D SLACK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D SLACK DDS (DENTIST/PRESIDENT)
(719) 392-8596
Entity
Organization
Contact information
Practice address
2504 E PIKES PEAK AVE STE 301, COLORADO SPRINGS, CO 80909-6031
(719) 392-8596
(719) 392-8298
Mailing address
2504 E PIKES PEAK AVE STE 301, COLORADO SPRINGS, CO 80909-6031
(719) 392-8596
(719) 392-8298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5907
CO
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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