Organization
EASTERN PLAINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD P. RONCO DMD (DENTIST)
(719) 347-3212
Entity
Organization
Contact information
Practice address
550 FIFTH ST., CALHAN, CO 80808
(719) 347-3212
Mailing address
P.O. BOX 41, CALHAN, CO 80808
(719) 347-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9448
CO
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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