NPI | 1619168507 |
---|---|
Former Legal Business Name | FOOTHILLS PEDIATRIC DENTISTRY, P.C. |
Entity Type | Organization |
Authorized Contact | KIMBER BARNEY Office Manager 303-604-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2007-08-06 |
Last Update Date | 2022-07-21 |