SearchColorado1223G0001X

Robert Provorse, D.D.S

NPI 1932282795 · on the registry since 2006 · sole proprietor

Practice

Address
700 Highway 24 South
Buena Vista, CO 81211
Phone
(719) 395-8641

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado