Anthony Knowlton Dds | |
317 S Union Ave Pueblo CO 81003-3429 | |
(719) 564-5833 | |
Not Available |
Full Name | Anthony Knowlton Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 317 S Union Ave, Pueblo, Colorado |
Authorized Official Name and Position | Anthony Lee Knowlton (DENTIST) |
Authorized Official Contact | 7195645833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anthony Knowlton Dds 317 S Union Ave Pueblo CO 81003-3429 Ph: (719) 564-5833 | Anthony Knowlton Dds 317 S Union Ave Pueblo CO 81003-3429 Ph: (719) 564-5833 |
NPI Number | 1073765301 |
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Provider Enumeration Date | 10/17/2008 |
Last Update Date | 01/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073765301 | NPI | - | NPPES |
72903554 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN9242 (Colorado) | Primary |
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