ERIC PHILIP MEDIAVILLA

COLORADO SPRINGS, CO
NPI1518004274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  8322)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Dr. ERIC PHILIP MEDIAVILLA DDS
513 KIVA RD
COLORADO SPRINGS, CO 80911-1913
Phone number: 303-588-5349
Mailing Address
Dr. ERIC PHILIP MEDIAVILLA DDS
10036 PALISADE RIDGE DR
COLORADO SPRINGS, CO 80920-1491
Phone number: 303-588-5349
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