| Mark D. Hurd, D.d.s. | |
|
3901 Outlook Blvd Suite C Pueblo CO 81008-1698 | |
| (719) 544-7020 | |
| (719) 544-5982 |
| Full Name | Mark D. Hurd, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 3901 Outlook Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Mark D Hurd (OWNER) |
| Authorized Official Contact | 7195447020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D. Hurd, D.d.s. 3901 Outlook Blvd Suite C Pueblo CO 81008-1698 Ph: (719) 544-7020 | Mark D. Hurd, D.d.s. 3901 Outlook Blvd Suite C Pueblo CO 81008-1698 Ph: (719) 544-7020 |
| NPI Number | 1679949853 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679949853 | NPI | - | NPPES |
| 6486 | Other | CO | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6486 (Colorado) | Primary |
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