Organization
TWIN RIVERS DENTAL
Active
Other names
J. Kottenstette DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KOTTENSTETTE DDS (OWNER)
(719) 545-5213
Entity
Organization
Contact information
Practice address
1320 FORTINO BLVD, SUITE D, PUEBLO, CO 81008-2081
(719) 545-5213
(719) 545-7076
Mailing address
1320 FORTINO BLVD, SUITE D, PUEBLO, CO 81008-2081
(719) 545-5213
(719) 545-7076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9175
CO
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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