Organization
DENTERUS DENTAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT BULL DDS (OWNER)
(719) 301-5300
Entity
Organization
Contact information
Practice address
3208 N ACADEMY BLVD, SUITE 140, COLORADO SPRINGS, CO 80917-5161
(719) 301-5300
(719) 301-5303
Mailing address
3208 N ACADEMY BLVD, SUITE 140, COLORADO SPRINGS, CO 80917-5161
(719) 301-5300
(719) 301-5303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00201875
CO
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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