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Organization
PUEBLO WEST DENTAL, PROF.LLC
Active
Organization
PUEBLO WEST DENTAL, PROF.LLC
Active
Other names
Pueblo West Neighborhood Dental and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR ROSS DDS (MEMBER)
(303) 263-3902
Entity
Organization
Contact information
Practice address
120 S STARDUST DR, PUEBLO WEST, CO 81007-1631
(719) 547-4474
Mailing address
120 S STARDUST DR, PUEBLO WEST, CO 81007-1631
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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