institution
Loren Sites Dds Pllc
Dental Clinic/Center in Pueblo, Colorado
NPI 1417377938

Loren Sites Dds Pllc is a Dental Clinic/Center based in Pueblo, CO and is specialized in Dental. Loren Sites Dds Pllc practices in Pueblo, CO. The NPI Number for Loren Sites Dds Pllc is 1417377938 and holds a License No. 9979 (Colorado).

The current practice location address for Loren Sites Dds Pllc is 4104 Outlook Blvd, Pueblo, CO and can be reached out via phone at 719-543-2271 and via fax at 719-543-0972.

Location: 4104 Outlook Blvd, Pueblo, CO, 81008-1670
institution
Provider Profile Details
NPI Number
1417377938
Provider Name
Loren Sites Dds Pllc
Credential
Provider Entity Type
Organization
Address
4104 Outlook Blvd, Pueblo, CO, 81008-1670
Phone Number
719-543-2271
Fax Number
719-543-0972
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85301035 05 CO
institution
Provider Business Practice Location Address Details
Address
4104 Outlook Blvd
City
State
Zip
81008-1670
Phone Number
719-543-2271
Fax Number
719-543-0972
person
Provider Business Mailing Address Details
Address
4104 Outlook Blvd
City
State
Zip
81008-1670
Phone Number
719-543-2271
Fax Number
719-543-0972
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
9979 (Colorado)
Definition
Definition to come...
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