Dental Specialists of Southern Colorado, PC
NPI #1427771203 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1427771203
- Entity Type
- Organization
- Organization Name
- Dental Specialists of Southern Colorado, PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Nov 7, 2022
Practice Location
- Address
- 332 S ORCHARD SPRINGS DR STE 110
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-6154
- Phone
- (719) 569-5959
Authorized Official
- Name
- REECE COCHRAN, DDS
- Title
- OWNER
- Phone
- (719) 569-5959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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