SearchColoradoGeneral Practice Dentistry

Kenneth Liddiard, DMD

NPI 1295792307 · on the registry since 2006

Practice

Address
2025 W Us Highway 50 Ste A100
Pueblo, CO 81008
Phone
(719) 542-2472
Fax
(719) 542-6435
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado