| Motor Mouth | |
|
6975 Holt Dr Colorado Springs CO 80922-1608 | |
| (719) 648-9102 | |
| (719) 358-6009 |
| Full Name | Motor Mouth |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6975 Holt Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Heather Lynette Williams (OWNER/OPERATOR) |
| Authorized Official Contact | 7196489102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Motor Mouth 6975 Holt Dr Colorado Springs CO 80922-1608 Ph: (719) 648-9102 | Motor Mouth 6975 Holt Dr Colorado Springs CO 80922-1608 Ph: (719) 648-9102 |
| NPI Number | 1437436441 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437436441 | NPI | - | NPPES |
| 1598070997 | Other | CO | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DH-905614 (Colorado) | Primary |
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