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Organization
DENTAL SPECIALISTS OF SOUTHERN COLORADO, PC
Active
Organization
DENTAL SPECIALISTS OF SOUTHERN COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REECE COCHRAN DDS (OWNER)
(719) 569-5959
Entity
Organization
Contact information
Practice address
332 S ORCHARD SPRINGS DR STE 110, PUEBLO WEST, CO 81007-6154
(719) 569-5959
(719) 300-5259
Mailing address
332 S ORCHARD SPRINGS DR STE 110, PUEBLO WEST, CO 81007-6154
(719) 569-5959
(719) 300-5259
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
11/07/2022
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