Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR PAUL POREMBA, DDS MSD
Active Sole ProprietorEDGAR PAUL POREMBA, DDS MSD is a Orthodontics healthcare provider located in COLORADO SPGS, Colorado. NPI 1659594232 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · COLORADO SPGS, CO
Registration Details
- NPI Number
- 1659594232
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.297134183871 yrs)
- Last Updated
- Jul 8, 2007
- License
-
105719 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2997 BROADMOOR VALLEY RDCOLORADO SPGS, CO, 809064405Browse CO providers · Browse ZIP 80906
- Phone
- 7195760149
- Fax
- 7195795373
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.