Edgar P Poremba Dds Msd Pc | |
2997 Broadmoor Valley Rd Colorado Spgs CO 80906-4405 | |
(719) 576-0149 | |
(719) 579-5373 |
Full Name | Edgar P Poremba Dds Msd Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2997 Broadmoor Valley Rd, Colorado Spgs, Colorado |
Authorized Official Name and Position | Edgar P Poremba (ORTHODONTIST) |
Authorized Official Contact | 7195760149 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edgar P Poremba Dds Msd Pc 2997 Broadmoor Valley Rd Colorado Spgs CO 80906-4405 Ph: (719) 576-0149 | Edgar P Poremba Dds Msd Pc 2997 Broadmoor Valley Rd Colorado Spgs CO 80906-4405 Ph: (719) 576-0149 |
NPI Number | 1982758173 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1982758173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 105719 (Colorado) | Primary |