| Pueblo West Dental Care | |
|
120 S Stardust Dr Pueblo West CO 81007-1631 | |
| (719) 547-4474 | |
| (719) 547-4710 |
| Full Name | Pueblo West Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 S Stardust Dr, Pueblo West, Colorado |
| Authorized Official Name and Position | Taylor R Ross (DR.) |
| Authorized Official Contact | 7195474474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo West Dental Care 120 S Stardust Dr Pueblo West CO 81007-1631 Ph: (719) 547-4474 | Pueblo West Dental Care 120 S Stardust Dr Pueblo West CO 81007-1631 Ph: (719) 547-4474 |
| NPI Number | 1073039756 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073039756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 202115 (Colorado) | Primary |
Pueblo West Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Stardust Dr, Pueblo West, CO 81007 Phone: 719-547-4474 Fax: 719-547-4710 | |
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