NPI 1588079651

Prestige Denture Clinic

Organisation Dental Laboratory Pueblo, CO

Practice location

Address: 1700 N Salem Ave Suite B, Pueblo, CO 81001-2846
Phone: (719) 299-0777
Fax: (719) 582-1099

Authorised official

Name: Daniel Roybal
Title: Owner
Phone: (719) 299-0777

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

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Registry record

NPI: 1588079651
Entity type: Organization
NPI issued: 26 Jun 2014
Record last updated: 26 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.