BROADMOOR LAKE DENTAL

COLORADO SPRINGS, CO
NPI1801286919
Entity TypeOrganization
Authorized ContactMARC VAN NESS
Owner
719-375-5201
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  104909)
Enumeration Date2015-01-27
Last Update Date2021-07-21
Business Address
BROADMOOR LAKE DENTAL
155 LAKE AVE STE 201
COLORADO SPRINGS, CO 80906-3717
Phone number: 719-375-5201
Mailing Address
BROADMOOR LAKE DENTAL
155 LAKE AVE STE 201
COLORADO SPRINGS, CO 80906-3717
Phone number: 719-375-5201
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