Organization
RONALD CONCIALDI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A CONCIALDI DDS (PRESIDENT AND OWNER)
(719) 545-3070
Entity
Organization
Contact information
Practice address
2037 JERRY MURPHY RD, PUEBLO, CO 81001
(719) 545-3070
(719) 545-3071
Mailing address
2037 JERRY MURPHY RD, PUEBLO, CO 81001
(719) 545-3070
(719) 545-3071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
HD 100342
CO
Other
Enumeration date
02/26/2007
Last updated
09/11/2007
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