| NPI | 1417366790 |
|---|---|
| Former Legal Business Name | SPRINGS YOUTH DENTISTRY, PC |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL CONRAD CEJKA Owner, Doctor 720-666-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10762) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-09-02 |