| NPI | 1962991927 |
|---|---|
| Doing Business As | NORTHWEST PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAGDALENA EVANS Sr. Credentialing Specialist 720-272-7558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2024-10-31 |