| NPI | 1790343853 |
|---|---|
| Doing Business As | SADDLE ROCK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA ERICKSON President 719-439-9476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |