| Michael Kofford Dmd; Pllc | |
|
501 Quincy St Pueblo CO 81004-2064 | |
| (719) 545-7600 | |
| Not Available |
| Full Name | Michael Kofford Dmd; Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 501 Quincy St, Pueblo, Colorado |
| Authorized Official Name and Position | Michael Dean Kofford (ORTHODONTIST) |
| Authorized Official Contact | 3039078873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kofford Dmd; Pllc 501 Quincy St Pueblo CO 81004-2064 Ph: (719) 545-7600 | Michael Kofford Dmd; Pllc 501 Quincy St Pueblo CO 81004-2064 Ph: (719) 545-7600 |
| NPI Number | 1851693469 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851693469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8999 (Colorado) | Primary |
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