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1295792307
KENNETH JOHN LIDDIARD
PUEBLO, CO
NPI
1295792307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 00203000)
Enumeration Date
2006-05-01
Last Update Date
2020-10-23
Business Address
KENNETH JOHN LIDDIARD DMD
2025 W US HIGHWAY 50 STE A100
PUEBLO, CO 81008-1571
Phone number: 719-542-2472
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Mailing Address
KENNETH JOHN LIDDIARD DMD
2025 W US HIGHWAY 50 STE A100
PUEBLO, CO 81008-1571
Phone number: 719-542-2472
Copy
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