Individual
RICHARD COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
729 W US HIGHWAY 50, PUEBLO, CO 81008-1603
(719) 542-4000
Mailing address
8214 CASSABELLA CT, FOUNTAIN, CO 80817-4245
(719) 649-8438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN00203243
CO
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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