Individual
DR. RHETT MARVIN QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6160 TUTT BLVD, SUITE 250, COLORADO SPRINGS, CO 80923-3500
(719) 359-8652
(719) 623-5771
Mailing address
6160 TUTT BLVD, SUITE 250, COLORADO SPRINGS, CO 80923-3500
(719) 359-8652
(719) 623-5771
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18236324
—
CO
Enumeration date
01/12/2007
Last updated
09/28/2011
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