MEDICAID DENTAL HOME

Public Health Dentistry

NPI: 1336570167Organization

Specialties, Licenses & Credentials

Dental Hygienist

Dental Hygienist

Code: 124Q00000X

903783(CO)

Public Health DentistryPrimary

Dentist — Dental Public Health

Code: 1223D0001X

8109(CO)

Contact & Hours

Address: 2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
Phone: (719) 310-3315

Quick Facts

NPI: 1336570167
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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