Organization
INTEGRITY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW COMERCI DDS (AUTHORIZED OFFICIAL)
(719) 545-2468
Entity
Organization
Contact information
Practice address
1100 EAGLERIDGE BLVD, PUEBLO, CO 81008
(719) 545-0604
(719) 545-0815
Mailing address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 545-0604
(719) 545-0815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
00010527
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94581771
—
CO
Enumeration date
05/23/2012
Last updated
08/31/2018
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