PHILLIP EARL PONTIOUS

CANON CITY, CO
NPI1154544666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  9227)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- PHILLIP EARL PONTIOUS DMD
1204 MAIN ST CANON CITY
CANON CITY, CO 81212-3506
Phone number: 719-275-2887
Mailing Address
-- PHILLIP EARL PONTIOUS DMD
1204 MAIN ST CANON CITY
CANON CITY, CO 81212-3506
Phone number: 719-275-2887
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