Twin Rivers Dental

NPI #1376887729 in Pueblo, Colorado

Provider Information

NPI Number: 1376887729
Entity Type: Organization
Organization Name: Twin Rivers Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2012
Last Updated: Nov 23, 2012

Practice Location

Address: 1320 FORTINO BLVD
Address 2: SUITE D
City: Pueblo
State: Colorado
ZIP Code: 81008-2081
Phone: (719) 545-5213

Authorized Official

Name: DR. JENNIFER KOTTENSTETTE, DDS
Title: OWNER
Phone: (719) 545-5213

Specialties & Taxonomy Codes

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

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