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1205276128
ADVANTAGE DENTAL GROUP
PUEBLO, CO
NPI
1205276128
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Entity Type
Organization
Authorized Contact
ERIC L. BERRY
Owner
719-545-1400
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 105682)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
ADVANTAGE DENTAL GROUP
1800 FORTINO BLVD UNIT 1
PUEBLO, CO 81008-1891
Phone number: 719-545-1400
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Mailing Address
ADVANTAGE DENTAL GROUP
1800 FORTINO BLVD UNIT 1
PUEBLO, CO 81008-1891
Phone number: 719-545-1400
Copy
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