NPI | 1639244668 |
---|---|
Doing Business As | SOUTHWEST PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JAMES A URBANIAK Owner 303-978-1104 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 6546) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 105007) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-08-22 |