NPI | 1326494451 |
---|---|
Doing Business As | FORT COLLINS KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSEPH ANTHONY GUIDO Owner/Dentist 970-672-7525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 20161161840) |
Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CO 02786092) |
Enumeration Date | 2016-05-07 |
Last Update Date | 2021-09-01 |