Provider Demographics
NPI:1093909855
Name:GEORGESCU, RUXANDRA OANA-IULIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUXANDRA
Middle Name:OANA-IULIA
Last Name:GEORGESCU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 SETON HALL RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7938
Mailing Address - Country:US
Mailing Address - Phone:719-232-3976
Mailing Address - Fax:
Practice Address - Street 1:7560 RANGEWOOD DR STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2100
Practice Address - Country:US
Practice Address - Phone:719-272-9009
Practice Address - Fax:719-272-9889
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-9397122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist