| NPI | 1275924425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY CATMULL Manager Of Pedo Lakewood LLC 801-885-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00202066) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |