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