SEAN RICHARD MORTENSEN

PUEBLO, CO
NPI1104266949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  201996)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
Dr. SEAN RICHARD MORTENSEN D.D.S.
2025 W US HIGHWAY 50 A100
PUEBLO, CO 81008-1571
Phone number: 719-542-2472
Mailing Address
Dr. SEAN RICHARD MORTENSEN D.D.S.
2025 W US HIGHWAY 50 A100
PUEBLO, CO 81008-1571
Phone number: 719-542-2472
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