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Individual

SILKE KRISTEN CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-2408
(719) 391-2336
(719) 391-1625
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
203753
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
203753
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730662784
CO
01
228980834
ADA
Enumeration date
09/14/2018
Last updated
06/12/2019
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