| Down To Earth Dental | |
|
1407 W 29th St Pueblo CO 81008-1269 | |
| (719) 546-0404 | |
| (719) 546-0408 |
| Full Name | Down To Earth Dental |
|---|---|
| Speciality | Dental Hygienist |
| Location | 1407 W 29th St, Pueblo, Colorado |
| Authorized Official Name and Position | Sandra L. Childress (OFFICE MGR.) |
| Authorized Official Contact | 7195460404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Down To Earth Dental 1407 W 29th St Pueblo CO 81008-1269 Ph: (719) 546-0404 | Down To Earth Dental 1407 W 29th St Pueblo CO 81008-1269 Ph: (719) 546-0404 |
| NPI Number | 1558590596 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558590596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | Secondary |
| 124Q00000X | Dental Hygienist | 3009 (Colorado) | Primary |
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