DR. Robert C. Provorse, D.D.S.
NPI #1932282795 in Buena Vista, Colorado
Provider Information
- NPI Number
- 1932282795
- Entity Type
- Individual
- Name
- DR. Robert C. Provorse, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 700 HIGHWAY 24 SOUTH
- City
- Buena Vista
- State
- Colorado
- ZIP Code
- 81211-1305
- Phone
- (719) 395-8641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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