Organization
TOTAL ORTHODONTICS PROFESSIONAL LLP
Active
Organization
TOTAL ORTHODONTICS PROFESSIONAL LLP
Active
Other names
Total Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L. THEROUX D.D.S., M.S. (ORTHODONTIST)
(303) 779-0565
Entity
Organization
Contact information
Practice address
10450 PARK MEADOWS DR STE 300, LONE TREE, CO 80124-5530
(303) 779-0565
(303) 804-5394
Mailing address
10450 PARK MEADOWS DR STE 300, LONE TREE, CO 80124-5530
(303) 779-0565
(303) 804-5394
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00010417
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7495
CO
Other
Enumeration date
05/15/2014
Last updated
02/16/2016
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