Individual
DR. MICHAEL ANTHONY HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4650
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105244
CO
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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