Kenneth John Liddiard, DMD

NPI #1295792307 in Pueblo, Colorado

Provider Information

NPI Number: 1295792307
Entity Type: Individual
Name: Kenneth John Liddiard, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 1, 2006
Last Updated: Oct 23, 2020

Practice Location

Address: 2025 W US HIGHWAY 50 STE A100
City: Pueblo
State: Colorado
ZIP Code: 81008-1571
Phone: (719) 542-2472

Specialties & Taxonomy Codes

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

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