| NPI | 1417624420 |
|---|---|
| Doing Business As | PUEBLO DENTAL |
| Entity Type | Organization |
| Authorized Contact | RACHEL MEARES Operations Manager 719-542-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |