| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982758173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 105719 (Colorado) | Primary |