Organization
PRESTIGE DENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROYBAL (OWNER)
(719) 299-0777
Entity
Organization
Contact information
Practice address
1700 N SALEM AVE, SUITE B, PUEBLO, CO 81001-2846
(719) 299-0777
(719) 582-1099
Mailing address
1700 N SALEM AVE, SUITE B, PUEBLO, CO 81001-2846
(719) 299-0777
(719) 582-1099
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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