Organization
MATT. A. PHILSON, D.D.S,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT A PHILSON D.D.S. (OWNER)
(719) 543-1132
Entity
Organization
Contact information
Practice address
510 COLORADO AVE, PUEBLO, CO 81004-2013
(719) 543-1132
(719) 544-0849
Mailing address
510 COLORADO AVE, PUEBLO, CO 81004-2013
(719) 543-1132
(719) 544-0849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202236
CO
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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