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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