Organization
COLORADO SPRINGS DENTAL SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5740 N CAREFREE CIR STE 150, COLORADO SPRINGS, CO 80917-2787
(719) 597-9737
Mailing address
5740 N CAREFREE CIR STE 150, COLORADO SPRINGS, CO 80917-2787
(719) 597-9737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
11/27/2023
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