Organization
BRIARGATE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A SOUZA D.M.D. (PRESIDENT)
(719) 260-1600
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
7823
CO
Other
Enumeration date
05/05/2007
Last updated
08/22/2020
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