Individual
MARK DOUGLASS MOLLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
685 CITADEL DR E STE 313, COLORADO SPRINGS, CO 80909-5316
(719) 574-1741
(719) 596-6723
Mailing address
685 CITADEL DR E STE 313, COLORADO SPRINGS, CO 80909-5316
(719) 574-1741
(719) 596-6723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5930
CO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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