| NPI | 1689012122 |
|---|---|
| Former Legal Business Name | CHILDRENS DENTAL SPECIALIST OF COLORADO |
| Doing Business As | KIDSTOOTHDOC |
| Entity Type | Organization |
| Authorized Contact | BRIAN FOX Manager 303-947-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2019-12-27 |