Family & Kids Dental PC

NPI #1578822375 in Pueblo, Colorado

Provider Information

NPI Number: 1578822375
Entity Type: Organization
Organization Name: Family & Kids Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 14, 2012
Last Updated: May 14, 2012

Practice Location

Address: 1022 LIBERTY LN
City: Pueblo
State: Colorado
ZIP Code: 81001-2039
Phone: (719) 545-5778

Authorized Official

Name: DR. ANDREW LOOMIS
Title: OWNER
Phone: (719) 545-5778

Specialties & Taxonomy Codes

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

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