Organization
PAUL A. ANDREATTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A. ANDREATTA DDS (OWNER)
(719) 846-4028
Entity
Organization
Contact information
Practice address
1723 E MAIN ST, TRINIDAD, CO 81082-2017
(719) 846-4028
(719) 845-0097
Mailing address
1723 E MAIN ST, TRINIDAD, CO 81082-2017
(719) 846-4028
(719) 845-0097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00005167
CO
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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