NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1184741704 |   |   |   | SMALL SMILES OF BEAUMONT, PC | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1760530067 | BESHARATI | ALIREZA |   |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1447334008 | CASTILLO | DAVID | ANTHONY |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1497803738 | DUONG | HIEN | T |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1497726590 | FORESTAL | EDMISE |   |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1881765055 | HARDIN | CALARA | K |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1790818540 | JOHNSON | DONNA | M |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1841361011 | LEGAULT | KENNETH |   |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1962563239 | MARTIN | TU-WANDA | MARABLE |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1104991538 | MCQUITTY | PATRICK | J |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1528132420 | NANAVATI | AMITI |   |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1437205887 | SMITH-EDWARDS | JULIET | V |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1558499608 | STEELE | JAIME | LYN |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1588739916 | TAKAKI | MELVIN | H |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1922132968 | TURNER-IANNACCI | AMY | CHRISTINE |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |
1255408456 | VUONG | VINH | TU |   | 415 N GRAND AVE | PUEBLO | CO | 810033111 |