Organization
VSB COLORADO PROVIDERS PLLC
Active
Organization
VSB COLORADO PROVIDERS PLLC
Active
Parent organization
VSB COLORADO PROVIDERS PLLC
Other names
Vivos Breathing Wellness Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
VSB COLORADO PROVIDERS PLLC
Authorized official
MICHAEL DRIESSEN (REGISTERED AGENT AND OFFICER)
(818) 306-3215
Entity
Organization
Contact information
Practice address
1750 TELSTAR DRIVE, SUITE 200, COLORADO SPRINGS, CO 80920
(818) 306-3215
Mailing address
1942 CAMINITO DE LA ESTRELLA, GLENDALE, CA 91208-3000
(818) 306-3215
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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