NPI | 1427824853 |
---|---|
Doing Business As | DENTISTRY FOR CHILDREN & TEENS |
Entity Type | Organization |
Authorized Contact | REBECCA FOUNTAIN President 303-798-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-11-27 |
Last Update Date | 2024-01-13 |