Organization
COLORADO SPRINGS DENTAL AND ORTHODONTICS PLLC
Active
Other names
Rodeo Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAHYA MANSOUR DDS (OWNER)
(817) 529-8151
Entity
Organization
Contact information
Practice address
5150 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-4002
(817) 529-8151
(817) 928-1681
Mailing address
100 E 15TH ST STE 520, FORT WORTH, TX 76102-6566
(817) 529-8151
(817) 928-1681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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