| Pueblo Family Dentistry Pllc | |
|
701 N Grand Avenue Suite B Pueblo CO 81003 | |
| (719) 210-4097 | |
| Not Available |
| Full Name | Pueblo Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 701 N Grand Avenue, Pueblo, Colorado |
| Authorized Official Name and Position | Somi M Lim (DENTIST/OWNER) |
| Authorized Official Contact | 7194182456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Family Dentistry Pllc 2810 S. Academy Blvd. Suite# 130 Colorado Springs CO 80916 Ph: (719) 418-2456 | Pueblo Family Dentistry Pllc 701 N Grand Avenue Suite B Pueblo CO 81003 Ph: (719) 210-4097 |
| NPI Number | 1497382303 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497382303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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