Individual
DR. IVAN ZOLOTCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9348 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7006
(719) 722-3568
Mailing address
2316 N WAHSATCH AVE # 374, COLORADO SPRINGS, CO 80907-6941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205560
CO
1223G0001X
General Practice Dentistry
DEN.00205560
CO
Other
Enumeration date
06/30/2023
Last updated
07/06/2023
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