NPI | 1033778220 |
---|---|
Doing Business As | COSMIC KIDS DENTAL |
Entity Type | Organization |
Authorized Contact | MAGDALENA EVANS Credentialing Specialist 720-603-4788 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-10-14 |