| Dentists Of Broadmoor, Llp | |
|
160 East Cheyenne Road Suite 120 Colorado Springs CO 80906 | |
| (719) 249-8775 | |
| Not Available |
| Full Name | Dentists Of Broadmoor, Llp |
|---|---|
| Speciality | Dentist |
| Location | 160 East Cheyenne Road, Colorado Springs, Colorado |
| Authorized Official Name and Position | Janica J Gillette-backstrom (OWNER) |
| Authorized Official Contact | 7192498775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of Broadmoor, Llp Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Dentists Of Broadmoor, Llp 160 East Cheyenne Road Suite 120 Colorado Springs CO 80906 Ph: (719) 249-8775 |
| NPI Number | 1164182242 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164182242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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