| NPI | 1417377938 |
|---|---|
| Doing Business As | PUEBLO DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LOREN SITES Owner 719-543-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9979) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |