NPI | 1437578028 |
---|---|
Doing Business As | PUEBLO MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SCOTT W CAIRNS Owner Doctor 719-542-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-04-10 |
Last Update Date | 2014-04-10 |