Provider Demographics
NPI:1558560607
Name:TREFIL, KARLEEN LAURA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARLEEN
Middle Name:LAURA
Last Name:TREFIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 US HIGHWAY 50 WEST
Mailing Address - Street 2:A100
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008
Mailing Address - Country:US
Mailing Address - Phone:719-542-2472
Mailing Address - Fax:719-542-6435
Practice Address - Street 1:2025 W US HIGHWAY 50
Practice Address - Street 2:A100
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1571
Practice Address - Country:US
Practice Address - Phone:719-542-2472
Practice Address - Fax:719-542-6435
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist