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Individual

DALE L PAVEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
USA DENTAC, 1631 WETZEL BLVD, BLDG 815, COLORADO SPRINGS, CO 80913
(719) 526-5400
Mailing address
USA DENTAC, 1631 WETZEL BLVD, BLDG 815, FORT CARSON, CO 80913
(719) 526-5400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3568-5
WI

Other

Enumeration date
05/03/2006
Last updated
07/08/2007
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