Organization
DENTAL SPECIALISTS OF SOUTHERN COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REECE COCHRAN DDS (OWNER)
(719) 569-5959
Entity
Organization
Contact information
Practice address
332 S ORCHARD SPRINGS DR STE 110, PUEBLO WEST, CO 81007-6154
(719) 569-5959
(719) 300-5259
Mailing address
332 S ORCHARD SPRINGS DR STE 110, PUEBLO WEST, CO 81007-6154
(719) 569-5959
(719) 300-5259
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
11/07/2022
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