Organization
ABC DENTAL & ORTHODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GOULD D.D.S (DENTIST/OWNER)
(719) 579-5437
Entity
Organization
Contact information
Practice address
2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 579-5437
(719) 579-9913
Mailing address
2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 579-5437
(719) 579-9913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9256
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23205032
—
CO
Enumeration date
04/16/2014
Last updated
04/16/2014
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