| Ronald D Daurio Dds Pc | |
|
4130 Redwood Ln Suite 130 Pueblo CO 81005-3295 | |
| (719) 564-1102 | |
| (719) 565-0234 |
| Full Name | Ronald D Daurio Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 4130 Redwood Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Ronald D Daurio (OWNER) |
| Authorized Official Contact | 7195641102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D Daurio Dds Pc 4130 Redwood Ln Suite 130 Pueblo CO 81005-3295 Ph: (719) 564-1102 | Ronald D Daurio Dds Pc 4130 Redwood Ln Suite 130 Pueblo CO 81005-3295 Ph: (719) 564-1102 |
| NPI Number | 1548485600 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548485600 | NPI | - | NPPES |
| 79125531 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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