Organization
CITADEL TERRACE IMAGING , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D MOLLNER DDS (OWNER)
(719) 574-1741
Entity
Organization
Contact information
Practice address
709 CITADEL DR E, COLORADO SPRINGS, CO 80909-5302
(719) 596-6688
Mailing address
709 CITADEL DR E, COLORADO SPRINGS, CO 80909-5302
(719) 596-6688
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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