Individual
MR. RAYMOND DAVID BAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
513 KIVA RD, COLORADO SPRINGS, CO 80911-1913
(719) 392-5300
(719) 392-1093
Mailing address
513 KIVA RD, COLORADO SPRINGS, CO 80911-1913
(719) 392-5300
(719) 392-1093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104299
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104299
DELTA DENTAL
CO
05
—
131423
—
CO
01
—
71215
BLUE CROSS/BLUE SHIELD
CO
01
—
793766
UNITED CONCORDIA
CO
Enumeration date
09/13/2006
Last updated
07/08/2007
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