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Organization

EXCELLENCE IN DENTISTRY OF PUEBLO ONE PLLC

Active
Other names
Advantage Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENDALL B SKINNER DDS (OWNER)
(303) 425-1000
Entity
Organization

Contact information

Practice address
1800 FORTINO BLVD, SUITE #1, PUEBLO, CO 81008-1890
(719) 545-1400
Mailing address
9920 WADSWORTH PKWY, BROOMFIELD, CO 80021-6847
(303) 425-1000
(303) 425-1026

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10691
CO

Other

Enumeration date
01/06/2016
Last updated
01/07/2016
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