| NPI | 1447692538 |
|---|---|
| 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 | 2013-07-18 |
| Last Update Date | 2013-07-18 |