Individual
DR. CALVIN DALE UTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5770 FLINTRIDGE DR, SUITE 210, COLORADO SPRINGS, CO 80918-1881
(719) 593-8701
(719) 593-9258
Mailing address
5770 FLINTRIDGE DR, SUITE 210, COLORADO SPRINGS, CO 80918-1881
(719) 593-8701
(719) 593-9258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105836
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105836
DENTAL LICENSE
CO
Enumeration date
09/20/2006
Last updated
07/08/2007
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