| NPI | 1780196667 |
|---|---|
| Former Legal Business Name | PEDIATRIC DENTISTRY OF LOVELAND |
| Entity Type | Organization |
| Authorized Contact | KATHERINE SUZANNE GALM Pediatric Dentist 970-669-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN-9679) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |