Derose Children's Dental Clinic, PC
Derose Children's Dental Clinic, PC provides General Practice Dentistry in Pueblo, Colorado. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1022 Liberty LnPueblo, CO 81001-2039 Not confirmed with CMS for 16 years — call before visiting
Phone: (719) 545-5775
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1699724831 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Trudy Williams — Director, Licensing & Credentialing · (615) 750-0342 |
| NPI enumerated | May 7, 2006 |
| Last updated in NPPES | May 17, 2010 |
| Mailing address | 201 W 8th St, Suite 810, Pueblo, CO 81003-3038 |
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