ADVANTAGE DENTAL GROUP
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1205276128- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1800 FORTINO BLVD UNIT 1, PUEBLO, CO, 810081891
- Phone
- (719) 545-1400
- Fax
- (719) 545-5153
Specialties & Taxonomies
Dentist
Primary License: CO #105682