Individual
DR. JOSE LUIS ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-9691
Mailing address
1500 N GRANT ST # 5218, DENVER, CO 80203-1859
(720) 248-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204823
CO
Other
Enumeration date
07/06/2021
Last updated
03/09/2026
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