Sangre De Cristo Dental Care | |
904 Hailey Ln Ste A Pueblo West CO 81007-4456 | |
(719) 225-1009 | |
(888) 847-1729 |
Full Name | Sangre De Cristo Dental Care |
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Speciality | Dentist - General Practice |
Location | 904 Hailey Ln Ste A, Pueblo West, Colorado |
Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sangre De Cristo Dental Care 904 Hailey Ln Ste A Pueblo West CO 81007-4456 Ph: (719) 470-6356 | Sangre De Cristo Dental Care 904 Hailey Ln Ste A Pueblo West CO 81007-4456 Ph: (719) 225-1009 |
NPI Number | 1700449436 |
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Provider Enumeration Date | 04/18/2019 |
Last Update Date | 07/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700449436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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