| NPI | 1356549950 |
|---|---|
| Doing Business As | COMFORT DENTAL SOUTH PUEBLO |
| Entity Type | Organization |
| Authorized Contact | RUSSELL A POOLE Doctor Partner 719-565-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |