Organization
SCHULTZ DENTAL OFFICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE H SCHULTZ (OWNER)
(719) 250-5888
Entity
Organization
Contact information
Practice address
430 COLORADO AVE, PUEBLO, CO 81004-2011
(719) 542-0036
(719) 543-2530
Mailing address
1507 WABASH AVE, PUEBLO, CO 81004-3345
(719) 250-5888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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