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1679341903
BROADMOOR PDC PLLC
COLORADO SPRINGS, CO
NPI
1679341903
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Entity Type
Organization
Authorized Contact
MARK CHRISTENSEN
Credentialing Specialist
801-305-3460
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
BROADMOOR PDC PLLC
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906-4407
Phone number: 719-632-7636
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Mailing Address
BROADMOOR PDC PLLC
PO BOX 970354
OREM, UT 84097-0354
Phone number: 801-305-3460
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