Dental Health Services Pc | |
2099 W Us Highway 50 Suite #120 Pueblo CO 81008 | |
(718) 542-3595 | |
(719) 543-5665 |
Full Name | Dental Health Services Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 2099 W Us Highway 50, Pueblo, Colorado |
Authorized Official Name and Position | Gary B Graves (OWNER) |
Authorized Official Contact | 7195423595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Health Services Pc 2099 W Us Highway 50 Suite #120 Pueblo CO 81008 Ph: (718) 542-3595 | Dental Health Services Pc 2099 W Us Highway 50 Suite #120 Pueblo CO 81008 Ph: (718) 542-3595 |
NPI Number | 1205847480 |
---|---|
Provider Enumeration Date | 08/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205847480 | NPI | - | NPPES |
02066975 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6697 (Colorado) | Primary |
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