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Organization
FRONT RANGE PEDIATRIC DENTISTRY, PLLC
Active
Organization
FRONT RANGE PEDIATRIC DENTISTRY, PLLC
Active
Other names
Cool Mountain Kids Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK MILLER DDS (OWNER)
(719) 550-1010
Entity
Organization
Contact information
Practice address
6160 TUTT BLVD, SUITE 140, COLORADO SPRINGS, CO 80923-3500
(719) 550-1010
(719) 550-1212
Mailing address
6160 TUTT BLVD, SUITE 140, COLORADO SPRINGS, CO 80923-3500
(719) 550-1010
(719) 550-1212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN9841
CO
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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