Tina Louise Skinner, DDS
Dentist, General Practice in Pueblo, CO. Individual provider (NPI-1).
NPI number1760613657
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1760613657
- Entity type
- Individual (NPI-1)
- Name
- Tina Louise Skinner
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2009
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9998 | CO | Yes |
Practice location
2047 Columbia DrPueblo, CO 81005-3279
Phone 719-566-0206 · Fax 719-561-1095
Mailing address
2047 Columbia DrPueblo, CO 81005-3279
Phone 719-566-0206 · Fax 719-561-1095
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All 91 General Practice Dentistry providers in Pueblo · All 5,060 providers in Pueblo
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