Organization
SOUTH PUEBLO DENTAL PARTNERS LLP
Active
Other names
Comfort Dental South Pueblo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL A POOLE DMD (DOCTOR PARTNER)
(719) 565-2274
Entity
Organization
Contact information
Practice address
1221 S PUEBLO BLVD, PUEBLO, CO 81005-1507
(719) 565-2274
Mailing address
1221 S PUEBLO BLVD, PUEBLO, CO 81005-1507
(719) 565-2274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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