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1023615556
VIDA ORTHODONTICS
PARKER, CO
NPI
1023615556
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Entity Type
Organization
Authorized Contact
KRYSTAL HOVERSTEN
Orthodontist
701-426-0938
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-10-07
Last Update Date
2020-10-07
Business Address
VIDA ORTHODONTICS
19551 HESS RD UNIT 110
PARKER, CO 80134-3446
Phone number: 701-426-0938
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Mailing Address
VIDA ORTHODONTICS
4519 W 37TH PL
DENVER, CO 80212-2395
Phone number: 701-426-0938
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