Organization
COLORADO SPRINGS PEDIATRIC DENTISTRY, PC
Active
Parent organization
COLORADO SPRINGS PEDIATRIC, PC
Other names
Colorado Springs Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO SPRINGS PEDIATRIC, PC
Authorized official
CASSIE MICHELLE SEARS (PRACTICE MANAGER)
(719) 522-0123
Entity
Organization
Contact information
Practice address
1335 PHAY AVE STE C, CANON CITY, CO 81212-2349
(719) 522-0123
(719) 285-8599
Mailing address
9480 BRIAR VILLAGE PT STE 301, COLORADO SPRINGS, CO 80920-7923
(719) 522-0123
(719) 266-6614
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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