| NPI | 1053713198 |
|---|---|
| Doing Business As | HIGHLANDS RANCH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LYNNE MIDGLEY Associate 720-439-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7835) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CO 7835) |
| 1223P0300X Dentist, Periodontics (Licence: CO 7835) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 7835) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7835) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |