Individual
DR. TY A PECHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.,P.C.
Contact information
Practice address
1560 BONFORTE BLVD, PUEBLO, CO 81001-1601
(719) 544-5340
(719) 583-2205
Mailing address
1560 BONFORTE BLVD, PUEBLO, CO 81001-1601
(719) 544-5340
(719) 583-2205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9163
CO
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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