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1801286919
BROADMOOR LAKE DENTAL
COLORADO SPRINGS, CO
NPI
1801286919
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Entity Type
Organization
Authorized Contact
MARC VAN NESS
Owner
719-375-5201
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 104909)
Enumeration Date
2015-01-27
Last Update Date
2021-07-21
Business Address
BROADMOOR LAKE DENTAL
155 LAKE AVE STE 201
COLORADO SPRINGS, CO 80906-3717
Phone number: 719-375-5201
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Mailing Address
BROADMOOR LAKE DENTAL
155 LAKE AVE STE 201
COLORADO SPRINGS, CO 80906-3717
Phone number: 719-375-5201
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