Individual
DR. LOREN SITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9895 PROMINENT PEAK HTS, APT 111, COLORADO SPRINGS, CO 80924-8632
(719) 480-4189
Mailing address
9895 PROMINENT PEAK HTS, APT 111, COLORADO SPRINGS, CO 80924-8632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9979
CO
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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