| NPI | 1881230217 |
|---|---|
| Doing Business As | CHILDREN'S COLORADO - HEALTH PAVILION DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA MICHAEL VP, Chief Compliance Officer 720-777-6537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |