Organization
TLC DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L. SKINNER DDS (DENTIST)
(719) 566-0206
Entity
Organization
Contact information
Practice address
2020 S PUEBLO BLVD, PUEBLO, CO 81005-2546
(719) 566-0206
(719) 561-1095
Mailing address
2020 S PUEBLO BLVD, PUEBLO, CO 81005-2546
(719) 566-0206
(719) 561-1095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9998
CO
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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