Individual
DR. ANTHONY L KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
317 S UNION AVE, PUEBLO, CO 81003-3429
(719) 564-5833
(719) 564-7097
Mailing address
317 S UNION AVE, PUEBLO, CO 81003-3429
(719) 564-5833
(719) 564-7097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
CO9242
CO
1223G0001X
General Practice Dentistry
Primary
9242
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72903554
—
CO
Enumeration date
10/05/2006
Last updated
01/11/2022
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