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Organization

COMPASSIONATE CARE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLE ANDERSON DDS (OWNER)
(720) 295-1647
Entity
Organization

Contact information

Practice address
2160 HOLLOW BROOK DR, COLORADO SPRINGS, CO 80918-1444
(720) 295-1647
Mailing address
1675 OLD ANTLERS WAY, MONUMENT, CO 80132-8095
(720) 295-1647

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000194063
CO
Enumeration date
06/02/2022
Last updated
10/12/2022
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