| Tlc Dental Care Pc | |
|
2020 S Pueblo Blvd Pueblo CO 81005-2546 | |
| (719) 566-0206 | |
| (719) 561-1095 |
| Full Name | Tlc Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2020 S Pueblo Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Tina L. Skinner (DENTIST) |
| Authorized Official Contact | 7195660206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Dental Care Pc 2020 S Pueblo Blvd Pueblo CO 81005-2546 Ph: (719) 566-0206 | Tlc Dental Care Pc 2020 S Pueblo Blvd Pueblo CO 81005-2546 Ph: (719) 566-0206 |
| NPI Number | 1144516592 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144516592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9998 (Colorado) | Primary |
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