Park West Dental PC

NPI #1033356670 in Pueblo, Colorado

Provider Information

NPI Number: 1033356670
Entity Type: Organization
Organization Name: Park West Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 20, 2009
Last Updated: Jan 20, 2009

Practice Location

Address: 3470 PARKER BLVD
City: Pueblo
State: Colorado
ZIP Code: 81003
Phone: (719) 543-4022

Authorized Official

Name: MR. BRAD PADULA
Title: MANAGER
Phone: (719) 543-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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