| J. Kottenstette Dds Pc | |
|
1320 Fortino Blvd Suite D Pueblo CO 81008-2081 | |
| (719) 545-5213 | |
| (719) 545-7076 |
| Full Name | J. Kottenstette Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1320 Fortino Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Jennifer Kottenstette (OWNER) |
| Authorized Official Contact | 7195455213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Kottenstette Dds Pc 1320 Fortino Blvd Suite D Pueblo CO 81008-2081 Ph: (719) 545-5213 | J. Kottenstette Dds Pc 1320 Fortino Blvd Suite D Pueblo CO 81008-2081 Ph: (719) 545-5213 |
| NPI Number | 1376887729 |
|---|---|
| Provider Enumeration Date | 11/23/2012 |
| Last Update Date | 11/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376887729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9175 (Colorado) | Primary |
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