| Greenhorn Family Dentistry Llc | |
|
4130 Redwood Ln Unit 130 Pueblo CO 81005-3292 | |
| (719) 564-1102 | |
| Not Available |
| Full Name | Greenhorn Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4130 Redwood Ln Unit 130, Pueblo, Colorado |
| Authorized Official Name and Position | Robert Trent Hansen (OWNER) |
| Authorized Official Contact | 3163009114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenhorn Family Dentistry Llc 4130 Redwood Ln Unit 130 Pueblo CO 81005-3292 Ph: () - | Greenhorn Family Dentistry Llc 4130 Redwood Ln Unit 130 Pueblo CO 81005-3292 Ph: (719) 564-1102 |
| NPI Number | 1033054929 |
|---|---|
| Provider Enumeration Date | 04/20/2026 |
| Last Update Date | 04/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033054929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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