Excellence In Dentistry Of Pueblo One Pllc

Specialty details in registry · Pueblo, CO

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At a glance

1800 Fortino Blvd, Pueblo, CO 81008-1890

NPPES record updated Jan 7, 2016. Public records can lag behind changes at a practice.

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Practice location

1800 Fortino Blvd Suite #1
Pueblo, CO 81008-1890

Professional details: NPI, taxonomy & registry record

NPI1730545757

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223G0001X
Enumeration date: Jan 6, 2016
Record updated: Jan 7, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License reported: 10691 CO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1800 Fortino Blvd
Suite #1
Pueblo, CO 81008-1890

Phone: (719) 545-1400

Mailing address

9920 WADSWORTH PKWY

BROOMFIELD, CO 800216847

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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