Alice Kaniff DDS PC
Clinic/Center, Dental in Colorado Springs, CO. Organization (NPI-2).
NPI number1316618119
StatusActive
Last updated in NPPESSep 22, 2021
Details
- NPI
- 1316618119
- Entity type
- Organization (NPI-2)
- Legal business name
- Alice Kaniff DDS PC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2021
- Certification date
- Sep 22, 2021
- Last updated
- Sep 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Practice location
102 S Tejon St Ste 1100Colorado Springs, CO 80903-2253
Phone 970-319-2999
Mailing address
102 S Tejon St Ste 1100Colorado Springs, CO 80903-2253
Phone 970-319-2999
Authorized official
Alice Kaniff
Owner
9703192999
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