Pueblo Dental Center of Pueblo

NPI #1699100982 in Pueblo, Colorado

Provider Information

NPI Number: 1699100982
Entity Type: Organization
Organization Name: Pueblo Dental Center of Pueblo
Subpart: Yes (part of a larger organization)
Parent Organization: PRESTIGE DENTAL CENTERS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 5, 2013
Last Updated: Sep 5, 2013

Practice Location

Address: 1700 N SALEM AVE
Address 2: SUITE B
City: Pueblo
State: Colorado
ZIP Code: 81001-2846
Phone: (719) 582-4222

Authorized Official

Name: TINA COMER
Title: OFFICE MANAGER
Phone: (719) 582-4222

Specialties & Taxonomy Codes

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

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