Individual
KELLI SUE PERSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3470 PARKER BLVD, PUEBLO, CO 81003-2280
(719) 543-4022
(719) 543-4008
Mailing address
3470 PARKER BLVD, PUEBLO, CO 81003
(719) 543-4022
(719) 543-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10215
CO
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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