| Family & Kids Dental Pc | |
|
1022 Liberty Ln Pueblo CO 81001-2039 | |
| (719) 545-5778 | |
| Not Available |
| Full Name | Family & Kids Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1022 Liberty Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Andrew Loomis (OWNER) |
| Authorized Official Contact | 7195455778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Kids Dental Pc 1022 Liberty Ln Pueblo CO 81001-2039 Ph: (719) 545-5778 | Family & Kids Dental Pc 1022 Liberty Ln Pueblo CO 81001-2039 Ph: (719) 545-5778 |
| NPI Number | 1578822375 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578822375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10123 (Colorado) | Primary |
Cover Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-566-0206 | |
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