| NPI | 1568906121 |
|---|---|
| Doing Business As | ALTITUDE SPECIAL NEEDS AND PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHAHEEN M MOEZZI Dentist/Owner 702-682-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN.00202224) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |