| Pueblo Dental & Braces | |
|
1345 S Pueblo Blvd Pueblo CO 81005-1508 | |
| (623) 910-5569 | |
| Not Available |
| Full Name | Pueblo Dental & Braces |
|---|---|
| Speciality | Dentist |
| Location | 1345 S Pueblo Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Michael Hall (DENTIST/ OWNER) |
| Authorized Official Contact | 8016020691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Dental & Braces 4542 Valleybrook Dr Highlands Ranch CO 80130-6965 Ph: (623) 910-5569 | Pueblo Dental & Braces 1345 S Pueblo Blvd Pueblo CO 81005-1508 Ph: (623) 910-5569 |
| NPI Number | 1891222402 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891222402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN 202339 (Colorado) | Primary |
Cover Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-566-0206 | |
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