Pueblo West Dental, Prof.llc | |
120 S Stardust Dr Pueblo West CO 81007-1631 | |
(719) 547-4474 | |
Not Available |
Full Name | Pueblo West Dental, Prof.llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 120 S Stardust Dr, Pueblo West, Colorado |
Authorized Official Name and Position | Taylor Ross (MEMBER) |
Authorized Official Contact | 3032633902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pueblo West Dental, Prof.llc 120 S Stardust Dr Pueblo West CO 81007-1631 Ph: () - | Pueblo West Dental, Prof.llc 120 S Stardust Dr Pueblo West CO 81007-1631 Ph: (719) 547-4474 |
NPI Number | 1891456711 |
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Provider Enumeration Date | 01/03/2022 |
Last Update Date | 01/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891456711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |
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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