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Organization
ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC
Active
Organization
ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC
Active
Other names
ORAL SURGERY SPECIALISTS OF PUEBLO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER E NELSON DDS (OWNER)
(719) 597-4060
Entity
Organization
Contact information
Practice address
3691 PARKER BLVD, PUEBLO, CO 81008-2278
(719) 212-0777
Mailing address
3100 N ACADEMY BLVD STE 213, COLORADO SPRINGS, CO 80917-5332
(719) 597-4060
(719) 574-2140
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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