# PUEBLO DENTAL MANAGEMENT, INC

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

## Provider details

- **NPI number:** 1528135837
- **Authorized official:** GERALDINE M DRABS (ADMINISTRATOR)
- **Authorized official phone:** (520) 624-7514

## Contact information

- **Practice address:** 1000 N SILVERBELL RD, TUCSON, AZ 85745-2234
- **Practice address phone:** (520) 624-7514
- **Mailing address:** 1000 N SILVERBELL RD, TUCSON, AZ 85745-2234
- **Mailing address phone:** (520) 624-7514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 07/22/2019