| NPI | 1316553860 |
|---|---|
| Doing Business As | PERFECT TEETH FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE BRION-MARTIN Credentialing Manager 720-441-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |