| NPI | 1669150066 |
|---|---|
| Doing Business As | PEDIATRIC SEDATION DENTISTRY OF COLORADO |
| Entity Type | Organization |
| Authorized Contact | MATTHEW LUCERO Owner 775-225-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |