| NPI | 1578181103 |
|---|---|
| Doing Business As | KIDS ROCK PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CORBAN STETTLER Owner/Dds 719-304-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |