| Union Blvd Dental Pllc | |
|
3920 N Union Blvd Ste 380 Colorado Springs CO 80907-4922 | |
| (719) 591-0091 | |
| Not Available |
| Full Name | Union Blvd Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3920 N Union Blvd Ste 380, 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 |
|---|---|
| Union Blvd Dental Pllc 3920 N Union Blvd Ste 380 Colorado Springs CO 80907-4922 Ph: (719) 591-0091 | Union Blvd Dental Pllc 3920 N Union Blvd Ste 380 Colorado Springs CO 80907-4922 Ph: (719) 591-0091 |
| NPI Number | 1295342640 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295342640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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