Premier Dental Care

NPI 1003961061 - Dentist - 1223G0001X

NPI Details
NPI 1003961061
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EUGENE A EUGENE
Position DENTIST
Phone (719) 596-1011
Fax (719) 596-6748
Practice Location
685 CITADEL DR E
SUITE 302
COLORADO SPRINGS CO, 80909-5314, US
Phone (719) 596-1011
Fax (719) 596-6748
Business Location
685 CITADEL DR E
SUITE 302
COLORADO SPRINGS CO, 80909-5314, US
Phone (719) 596-1011
Fax (719) 596-6748
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 6035
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According to our database, Premier Dental Care NPI is 1003961061, taxonomy code is 1223G0001X and license number is 6035, license state is located at Colorado. Premier Dental Care physically located at 685 Citadel Dr E, Colorado Springs CO, 80909-5314. NPI Number 1033115704 has the healthcare provider type.

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1003961061 NPI number is provided on an as is basis without warranty of any kind. 1003961061 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Dental Care are for informational purposes only.