Individual
TINA LOUISE SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2047 COLUMBIA DR, PUEBLO, CO 81005-3279
(719) 566-0206
(719) 561-1095
Mailing address
2047 COLUMBIA DR, PUEBLO, CO 81005-3279
(719) 566-0206
(719) 561-1095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9998
CO
Other
Enumeration date
07/27/2009
Last updated
06/20/2023
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