| Co Specialty Dental Services Pllc | |
|
1415 Cipriani Loop Monument CO 80132-8621 | |
| (719) 596-3113 | |
| Not Available |
| Full Name | Co Specialty Dental Services Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1415 Cipriani Loop, Monument, Colorado |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Co Specialty Dental Services Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: () - | Co Specialty Dental Services Pllc 1415 Cipriani Loop Monument CO 80132-8621 Ph: (719) 596-3113 |
| NPI Number | 1316681760 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316681760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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