Vikash Kanchanlal, Dmd, PC

NPI #1558528885 in Pueblo, Colorado

Provider Information

NPI Number: 1558528885
Entity Type: Organization
Organization Name: Vikash Kanchanlal, Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 1315 S PUEBLO BLVD
Address 2: SUITE #110
City: Pueblo
State: Colorado
ZIP Code: 81005-2191
Phone: (719) 564-3900

Authorized Official

Name: MRS. CHRISTY L COCA
Title: OFFICE MANAGER
Phone: (719) 564-3900

Specialties & Taxonomy Codes

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

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