Individual
DR. JAMES C. SWANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 S PUEBLO BLVD, PUEBLO, CO 81005-1682
(719) 564-0990
(719) 564-6817
Mailing address
1001 S PUEBLO BLVD, PUEBLO, CO 81005-1682
(719) 564-0990
(719) 564-6817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81971842
—
CO
Enumeration date
07/13/2005
Last updated
07/09/2007
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