| NPI | 1255795464 |
|---|---|
| Doing Business As | PUEBLO WEST DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRADY SEFCIK Dds/Owner 719-547-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00202298) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |