Pueblo West Dental, Prof.llc
NPI #1891456711 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1891456711
- Entity Type
- Organization
- Organization Name
- Pueblo West Dental, Prof.llc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 3, 2022
- Last Updated
- Jan 3, 2022
Practice Location
- Address
- 120 S STARDUST DR
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-1631
- Phone
- (719) 547-4474
Authorized Official
- Name
- TAYLOR ROSS, DDS
- Title
- MEMBER
- Phone
- (303) 263-3902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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