Organization
DR TINA L SKINNER DDS MS PC
Active
Other names
TLC Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SKINNER (OWNER)
(719) 566-0206
Entity
Organization
Contact information
Practice address
2047 COLUMBIA DR, PUEBLO, CO 81005-3279
(719) 566-0206
Mailing address
2047 COLUMBIA DR, PUEBLO, CO 81005-3279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9998
CO
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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