Organization · Type 2 NPI

Pueblo West Dental, Prof.llc

Dental Clinic/Center · Pueblo West, CO

NPI number 1891456711 Active

Practice location

120 S Stardust Dr
Pueblo West, CO 81007-1631

Call (719) 547-4474 Map

Other practice locations

  • 120 S Crescent Dr Ste B, Pueblo West, CO 81007-2787 · (719) 647-9433

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1891456711

Pueblo West Dental, Prof.llc's National Provider Identifier is 1891456711, issued on Jan 3, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pueblo West, CO. The record was last updated on Jan 3, 2022.