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Organization
LOREN SITES DDS PLLC
Active
Organization
LOREN SITES DDS PLLC
Active
Other names
Pueblo Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN SITES DDS (OWNER)
(719) 543-2271
Entity
Organization
Contact information
Practice address
4104 OUTLOOK BLVD, SUITE 138, PUEBLO, CO 81008-1670
(719) 543-2271
(719) 543-0972
Mailing address
4104 OUTLOOK BLVD, SUITE 138, PUEBLO, CO 81008-1670
(719) 543-2271
(719) 543-0972
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9979
CO
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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