Derose Children's Dental Clinic, PC

NPI #1699724831 in Pueblo, Colorado

Provider Information

NPI Number: 1699724831
Entity Type: Organization
Organization Name: Derose Children's Dental Clinic, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 7, 2006
Last Updated: May 17, 2010

Practice Location

Address: 1022 LIBERTY LN
City: Pueblo
State: Colorado
ZIP Code: 81001-2039
Phone: (719) 545-5775

Authorized Official

Name: MS. TRUDY WILLIAMS
Title: DIRECTOR, LICENSING & CREDENTIALING
Phone: (615) 750-0342

Specialties & Taxonomy Codes

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

Similar Providers

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DR. Tony Leon Roberts, D.D.S.	Dentist - General Practice	Pueblo	AI Deep Dive
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