| NPI | 1760864235 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL GROUP II, LLC |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 32) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-03-30 |