Pueblo Dental Services LLC

NPI #1992577860 in Pueblo, Colorado

Provider Information

NPI Number: 1992577860
Entity Type: Organization
Organization Name: Pueblo Dental Services LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 24, 2023
Last Updated: Oct 24, 2023

Practice Location

Address: 200 W 29TH ST # B
City: Pueblo
State: Colorado
ZIP Code: 81008-1004
Phone: (719) 542-9374

Authorized Official

Name: DR. MEHRON KAZEMI, DDS
Title: OWNER
Phone: (303) 669-8908

Specialties & Taxonomy Codes

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

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