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Individual

CODY GRZYBOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5157 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918
(719) 413-8133
Mailing address
1224 PROSPECT ST APT 307, INDIANAPOLIS, IN 46203-1987

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205159
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/05/2022
Last updated
06/08/2022
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