| Dental Health Services Pc | |
|
2099 W Us Highway 50 Suite #120 Pueblo CO 81008 | |
| (718) 542-3595 | |
| (719) 543-5665 |
| Full Name | Dental Health Services Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2099 W Us Highway 50, Pueblo, Colorado |
| Authorized Official Name and Position | Gary B Graves (OWNER) |
| Authorized Official Contact | 7195423595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Services Pc 2099 W Us Highway 50 Suite #120 Pueblo CO 81008 Ph: (718) 542-3595 | Dental Health Services Pc 2099 W Us Highway 50 Suite #120 Pueblo CO 81008 Ph: (718) 542-3595 |
| NPI Number | 1205847480 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205847480 | NPI | - | NPPES |
| 02066975 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6697 (Colorado) | Primary |
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