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Kenneth John Liddiard, DMD
General Practice Dentistry in Pueblo, Colorado
NPI 1295792307

Kenneth John Liddiard is a General Practice Dentistry based in Pueblo, CO and is specialized in General Practice. Kenneth John Liddiard practices in Pueblo, CO and has the professional credentials of DMD. The NPI Number for Kenneth John Liddiard is 1295792307 and holds a License No. 00203000 (Colorado).

The current practice location address for Kenneth John Liddiard is 2025 W Us Highway 50 Ste A100, Pueblo, CO and can be reached out via phone at 719-542-2472 and via fax at 719-542-6435.

Location: 2025 W Us Highway 50 Ste A100, Pueblo, CO, 81008-1571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295792307
Provider Name
Kenneth John Liddiard
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2025 W Us Highway 50 Ste A100, Pueblo, CO, 81008-1571
Phone Number
719-542-2472
Fax Number
719-542-6435
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2025 W Us Highway 50 Ste A100
City
Pueblo
State
Colorado
Zip
81008-1571
Phone Number
719-542-2472
Fax Number
719-542-6435
person
Provider Business Mailing Address Details
Address
2025 W Us Highway 50 Ste A100
City
Pueblo
State
Colorado
Zip
81008-1571
Phone Number
719-542-2472
Fax Number
719-542-6435
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
00203000 (Colorado)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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