| NPI | 1649271198 |
|---|---|
| Doing Business As | CHERRY CREEK PEDIATRIC DENTISTRY PROF LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID JOEL HAYUTIN Manager 303-757-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 6181) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WY 915) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |