| NPI | 1306183736 |
|---|---|
| Doing Business As | CANYON RIDGE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARC DAVID THOMAS Pediatric Dentist 303-841-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 10771) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2022-06-23 |