| NPI | 1558765339 |
|---|---|
| Doing Business As | ACADEMY KIDS DENTAL AND VISION |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2020-11-18 |