Organization
MARK D. HURD, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D HURD DDS (OWNER)
(719) 544-7020
Entity
Organization
Contact information
Practice address
3901 OUTLOOK BLVD, SUITE C, PUEBLO, CO 81008-1698
(719) 544-7020
(719) 544-5982
Mailing address
3901 OUTLOOK BLVD, SUITE C, PUEBLO, CO 81008-1698
(719) 544-7020
(719) 544-5982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6486
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6486
STATE DENTAL LICENSE
CO
Enumeration date
08/11/2015
Last updated
08/11/2015
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