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1497326953
JOSE LUIS ESTRADA
PUEBLO, CO
NPI
1497326953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO DEN.00204823)
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
Dr. JOSE LUIS ESTRADA DMD
729 W US HIGHWAY 50
PUEBLO, CO 81008-1603
Phone number: 719-542-4000
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Mailing Address
Dr. JOSE LUIS ESTRADA DMD
4075 LACY LN APT 16
COLORADO SPRINGS, CO 80916-7325
Phone number: 225-384-0781
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