Organization
CITADEL CROSSING PDC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 304-3460
Entity
Organization
Contact information
Practice address
685 CITADEL DR E STE 200B, COLORADO SPRINGS, CO 80909-5315
(719) 574-2121
Mailing address
PO BOX 970248, OREM, UT 84097-0248
(801) 305-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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