NPI | 1669920609 |
---|---|
Doing Business As | DENVER PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LUCENDA HARRIS Credentialing & Contracting Coordin 980-729-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2016-09-20 |
Last Update Date | 2021-06-16 |