Organization
ADMIRE DENTAL OF PUEBLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE MCCLAIN (TRANSITIONS AND OPERATIONS MANAGER)
(860) 269-0628
Entity
Organization
Contact information
Practice address
1044 EAGLERIDGE BLVD, PUEBLO, CO 81008-2130
(719) 696-6696
Mailing address
360 QUEEN ST STE 205, SOUTHINGTON, CT 06489-1883
(719) 696-6696
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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