Organization
MICHAEL KOFFORD DMD; PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEAN KOFFORD DMD, MSD (ORTHODONTIST)
(303) 907-8873
Entity
Organization
Contact information
Practice address
501 QUINCY ST, PUEBLO, CO 81004-2064
(719) 545-7600
Mailing address
501 QUINCY ST, PUEBLO, CO 81004-2064
(719) 545-7600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8999
CO
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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