Organization
DANIEL A. AVANT DDS MSD PC
Active
Organization
DANIEL A. AVANT DDS MSD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ADAM AVANT D.D.S. (PRESIDENT)
(719) 596-1363
Entity
Organization
Contact information
Practice address
685 CITADEL DR E, SUITE 312, COLORADO SPRINGS, CO 80909-5314
(719) 596-1363
(719) 596-1571
Mailing address
685 CITADEL DR E, SUITE 312, COLORADO SPRINGS, CO 80909-5314
(719) 596-1363
(719) 596-1571
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467573592
TYPE I
CO
Enumeration date
09/15/2010
Last updated
09/15/2010
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