Edgar P Poremba DDS Msd PC

NPI #1982758173 in Colorado Spgs, Colorado

Provider Information

NPI Number
1982758173
Entity Type
Organization
Organization Name
Edgar P Poremba DDS Msd PC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2997 BROADMOOR VALLEY RD
ZIP Code
80906-4405
Phone
(719) 576-0149

Authorized Official

Name
DR. EDGAR P POREMBA, DDS MSD
Title
ORTHODONTIST
Phone
(719) 576-0149

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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