Individual
DR. BEN ADAM CHARLES BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3691 PARKER BLVD STE 200, PUEBLO, CO 81008-2278
(719) 212-0777
Mailing address
3691 PARKER BLVD STE 200, PUEBLO, CO 81008-2278
(719) 212-0777
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DEN.00203311
CO
Other
Enumeration date
03/16/2013
Last updated
07/21/2022
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