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Individual

DR. EDWARD A SOUZA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3466 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-4168
(719) 260-1600
(719) 260-1640
Mailing address
3466 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-4168
(719) 260-1600
(719) 260-1640

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7823
CO

Other

Enumeration date
08/16/2005
Last updated
07/08/2007
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