| NPI | 1285021543 |
|---|---|
| Doing Business As | COOL MOUNTAIN KIDS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEREK MILLER Owner 719-550-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN9841) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |