Organization
VIKASH KANCHANLAL, DMD, PC
Active
Other names
Gentle Touch Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY L COCA (OFFICE MANAGER)
(719) 564-3900
Entity
Organization
Contact information
Practice address
1315 S PUEBLO BLVD, SUITE #110, PUEBLO, CO 81005-2191
(719) 564-3900
(719) 564-3901
Mailing address
1315 S PUEBLO BLVD, SUITE #110, PUEBLO, CO 81005-2191
(719) 564-3900
(719) 564-3901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92929541
—
CO
Enumeration date
05/22/2008
Last updated
06/11/2008
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