Phillip Earl Pontious, DMD
NPI #1154544666 in Canon City, Colorado
Provider Information
- NPI Number
- 1154544666
- Entity Type
- Individual
- Name
- Phillip Earl Pontious, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1204 MAIN ST
- Address 2
- CANON CITY
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-3506
- Phone
- (719) 275-2887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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