| NPI | 1639742075 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARK FULLER CFO 720-339-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |