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 |