Constitution Dental Group | |
7935 Constitution Avenue Suite 110 Colorado Springs CO 80951 | |
(719) 280-0277 | |
(719) 387-0285 |
Full Name | Constitution Dental Group |
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Speciality | Dentist - General Practice |
Location | 7935 Constitution Avenue, Colorado Springs, Colorado |
Authorized Official Name and Position | Ryan C Gardner (OWNER) |
Authorized Official Contact | 7192800277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Constitution Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Constitution Dental Group 7935 Constitution Avenue Suite 110 Colorado Springs CO 80951 Ph: (719) 280-0277 |
NPI Number | 1073057675 |
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Provider Enumeration Date | 12/15/2016 |
Last Update Date | 12/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073057675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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