Co Specialty Dental Services Pllc

NPI #1316681760 in Monument, Colorado

Provider Information

NPI Number
1316681760
Entity Type
Organization
Organization Name
Co Specialty Dental Services Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
CO SPECIALTY DENTAL SERVICES PLLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Apr 22, 2022
Last Updated
Apr 22, 2022

Practice Location

Address
1415 CIPRIANI LOOP
ZIP Code
80132-8621
Phone
(719) 596-3113

Authorized Official

Name
CHARLOTTE DASCH
Title
DIRECTOR OF PROVIDER RELATIONS
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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