Organization
FAMILY & KIDS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LOOMIS (OWNER)
(719) 545-5778
Entity
Organization
Contact information
Practice address
1022 LIBERTY LN, PUEBLO, CO 81001-2039
(719) 545-5778
Mailing address
1022 LIBERTY LN, PUEBLO, CO 81001-2039
(719) 545-5778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10123
CO
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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