| NPI | 1467047043 |
|---|---|
| Doing Business As | HAMPDEN YOUTH DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JACOB KOCHENBERGER Manager 719-250-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |