Organization
PUEBLO FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMI M LIM DDS (DENTIST/OWNER)
(719) 418-2456
Entity
Organization
Contact information
Practice address
701 N GRAND AVENUE, SUITE B, PUEBLO, CO 81003
(719) 210-4097
Mailing address
2810 S. ACADEMY BLVD., SUITE# 130, COLORADO SPRINGS, CO 80916
(719) 418-2456
(719) 247-8925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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