Organization
RONALD D DAURIO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD D DAURIO DDS (OWNER)
(719) 564-1102
Entity
Organization
Contact information
Practice address
4130 REDWOOD LN, SUITE 130, PUEBLO, CO 81005-3295
(719) 564-1102
(719) 565-0234
Mailing address
4130 REDWOOD LN, SUITE 130, PUEBLO, CO 81005-3295
(719) 564-1102
(719) 565-0234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79125531
—
CO
Enumeration date
04/16/2007
Last updated
08/22/2020
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