Eden Dental Pueblo PC
NPI #1154970366 in Pueblo, Colorado
Provider Information
- NPI Number
- 1154970366
- Entity Type
- Organization
- Organization Name
- Eden Dental Pueblo PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Nov 12, 2020
Practice Location
Authorized Official
- Name
- MICHAEL ROBERT HERRERA
- Title
- BUSINESS MANAGER
- Phone
- (760) 978-8527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Periodontics — Periodontics |
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