# STETTLER KR UNION, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Rock Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366207169
- **Authorized official:** CORBAN STETTLER (OWNER/DDS)
- **Authorized official phone:** (719) 304-1305

## Contact information

- **Practice address:** 3350 N UNION BLVD, COLORADO SPRINGS, CO 80907-5757
- **Practice address phone:** (719) 285-0085
- **Mailing address:** 3350 N UNION BLVD, COLORADO SPRINGS, CO 80907-5757
- **Mailing address phone:** (719) 285-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 02/20/2024