Individual
ADOLPH RALPH PADULA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1022 LIBERTY LN, PUEBLO, CO 81001-2039
(719) 545-5778
(719) 545-5783
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
(719) 546-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
051116
NY
1223G0001X
General Practice Dentistry
1134
WY
1223G0001X
General Practice Dentistry
12010429A
IN
1223G0001X
General Practice Dentistry
21280
MA
1223G0001X
General Practice Dentistry
22044
OH
1223G0001X
General Practice Dentistry
Primary
3209
CO
1223G0001X
General Practice Dentistry
4778T
NV
1223G0001X
General Practice Dentistry
5641
AZ
1223G0001X
General Practice Dentistry
5641
OK
1223G0001X
General Practice Dentistry
60210
KS
1223G0001X
General Practice Dentistry
D-3858
ID
1223G0001X
General Practice Dentistry
DD2043
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204889
—
MA
05
—
02551637
—
NY
05
—
2525048
—
OH
05
—
703167
—
AZ
Enumeration date
12/26/2005
Last updated
07/09/2007
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