Organization
BROADMOOR VALLEY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER CARTER D.M.D. (OWNER/OPERATOR)
(208) 709-1612
Entity
Organization
Contact information
Practice address
2965 BROADMOOR VALLEY RD, COLORADO SPRINGS, CO 80906
(719) 632-7636
(719) 632-5134
Mailing address
2965 BROADMOOR VALLEY RD, COLORADO SPRINGS, CO 80906
(719) 632-7636
(719) 632-5134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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