Organization
ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC
Active
Other names
ORAL SURGERY SPECIALISTS OF PUEBLO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER E NELSON DDS (OWNER)
(719) 597-4060
Entity
Organization
Contact information
Practice address
3691 PARKER BLVD, PUEBLO, CO 81008-2278
(719) 212-0777
Mailing address
3100 N ACADEMY BLVD STE 213, COLORADO SPRINGS, CO 80917-5332
(719) 597-4060
(719) 574-2140
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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