| Champion Smiles Family Dentistry Pllc | |
|
1359 Interquest Pkwy Ste 100 Colorado Springs CO 80921-3888 | |
| (719) 374-5496 | |
| (719) 900-7795 |
| Full Name | Champion Smiles Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1359 Interquest Pkwy Ste 100, Colorado Springs, Colorado |
| Authorized Official Name and Position | Catherine Diane Guerra (OWNER) |
| Authorized Official Contact | 7193745496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Smiles Family Dentistry Pllc 1359 Interquest Pkwy Ste 100 Colorado Springs CO 80921-3888 Ph: (719) 374-5496 | Champion Smiles Family Dentistry Pllc 1359 Interquest Pkwy Ste 100 Colorado Springs CO 80921-3888 Ph: (719) 374-5496 |
| NPI Number | 1235933144 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235933144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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