Organization
COVER FAMILY DENTAL
Active
Other names
Cover Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON PECHEK DDS MS PC (DENTIST)
(719) 566-0206
Entity
Organization
Contact information
Practice address
2020 S PUEBLO BLVD, PUEBLO, CO 81005-2546
(719) 566-0206
Mailing address
2020 S PUEBLO BLVD, PUEBLO, CO 81005-2546
(719) 566-0206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9163
CO
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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