NPI | 1992577860 |
---|---|
Doing Business As | PUEBLO DENTAL AND IMPLANT SERVICES |
Entity Type | Organization |
Authorized Contact | MEHRON KAZEMI Owner 303-669-8908 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-24 |
Last Update Date | 2023-10-24 |