# SCHULTZ DENTAL OFFICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285382986
- **Authorized official:** JANICE H SCHULTZ (OWNER)
- **Authorized official phone:** (719) 250-5888

## Contact information

- **Practice address:** 430 COLORADO AVE, PUEBLO, CO 81004-2011
- **Practice address phone:** (719) 542-0036
- **Practice address fax:** (719) 543-2530
- **Mailing address:** 1507 WABASH AVE, PUEBLO, CO 81004-3345
- **Mailing address phone:** (719) 250-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2022
- **Last updated:** 03/13/2022