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NPI Code Detail

MEDICARE: DR. COLLEEN REMIEN HARRIS D.M.D.

MEDICARE:  DR. COLLEEN REMIEN HARRIS  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDEN.00205170CO

General Provider Information

NPI Number : 1710610910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLLEEN REMIEN HARRIS D.M.D.
Provider Business Mailing Address
First Line : 513 KIVA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-1913
Country : US
Telephone Number : 719-392-5300
Fax Number :
Provider Business Practice Location Address
First Line : 513 KIVA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-1913
Country : US
Telephone Number : 719-392-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 10/13/2022

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Directions to “ DR. COLLEEN REMIEN HARRIS D.M.D.” Practice Location

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