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Organization
PUEBLO WEST NEIGHBORHOOD DENTAL
Active
Organization
PUEBLO WEST NEIGHBORHOOD DENTAL
Active
Other names
Pueblo West Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR R ROSS DDS (DR.)
(719) 547-4474
Entity
Organization
Contact information
Practice address
120 S STARDUST DR, PUEBLO WEST, CO 81007-1631
(719) 547-4474
(719) 547-4710
Mailing address
120 S STARDUST DR, PUEBLO WEST, CO 81007-1631
(719) 547-4474
(719) 547-4710
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
202115
CO
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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