Organization
ANTHONY KNOWLTON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LEE KNOWLTON (DENTIST)
(719) 564-5833
Entity
Organization
Contact information
Practice address
317 S UNION AVE, PUEBLO, CO 81003-3429
(719) 564-5833
Mailing address
317 S UNION AVE, PUEBLO, CO 81003-3429
(719) 564-5833
(719) 564-7097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN9242
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72903554
—
CO
Enumeration date
10/17/2008
Last updated
01/11/2022
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