Individual
DR. ANDREW CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1667 COCHRANE CIR # HQ, FORT CARSON, CO 80913-4603
(719) 526-2200
Mailing address
1667 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-1932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.029554
IL
1223G0001X
General Practice Dentistry
Primary
019.029554
IL
Other
Enumeration date
11/06/2013
Last updated
04/10/2023
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