| Eastern Plains Llc | |
|
550 Fifth St. Calhan CO 80808 | |
| (719) 347-3212 | |
| Not Available |
| Full Name | Eastern Plains Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 550 Fifth St., Calhan, Colorado |
| Authorized Official Name and Position | Ronald P. Ronco (DENTIST) |
| Authorized Official Contact | 7193473212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Plains Llc P.o. Box 41 Calhan CO 80808 Ph: (719) 347-3212 | Eastern Plains Llc 550 Fifth St. Calhan CO 80808 Ph: (719) 347-3212 |
| NPI Number | 1225486293 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225486293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9448 (Colorado) | Primary |