| NPI | 1114166857 |
|---|---|
| Doing Business As | GRIN PEDIATRIC DENTISTRY & ORTHODONTICS OF CENTENNIAL |
| Doing Business As | COMFORT DENTAL KIDS CENTENNIAL |
| Entity Type | Organization |
| Authorized Contact | COLTON FLAKE President 720-277-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 10630) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 10630) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2023-09-12 |