| Park West Dental Pc | |
|
3470 Parker Blvd Pueblo CO 81003 | |
| (719) 543-4022 | |
| Not Available |
| Full Name | Park West Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3470 Parker Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Brad Padula (MANAGER) |
| Authorized Official Contact | 7195439500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park West Dental Pc 409 N Grand Ave Pueblo CO 81003-3198 Ph: (719) 543-9500 | Park West Dental Pc 3470 Parker Blvd Pueblo CO 81003 Ph: (719) 543-4022 |
| NPI Number | 1033356670 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033356670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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