Pine Top Orthodontics Pc | |
9475 Briar Village Pt Ste 315 Colorado Springs CO 80920-7905 | |
(719) 481-9199 | |
Not Available |
Full Name | Pine Top Orthodontics Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 9475 Briar Village Pt Ste 315, Colorado Springs, Colorado |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pine Top Orthodontics Pc 9475 Briar Village Pt Ste 315 Colorado Springs CO 80920-7905 Ph: (719) 481-9199 | Pine Top Orthodontics Pc 9475 Briar Village Pt Ste 315 Colorado Springs CO 80920-7905 Ph: (719) 481-9199 |
NPI Number | 1790324770 |
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Provider Enumeration Date | 12/23/2019 |
Last Update Date | 12/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790324770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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