Organization
BRIGHT STAR KIDS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MUSANJE DDS, PHD (OWNER/DENTIST)
(303) 286-2679
Entity
Organization
Contact information
Practice address
15200 E. 104TH AVE, COMMERCE CITY, CO 80022
(303) 286-2679
(303) 284-9687
Mailing address
15200 E. 104TH AVE, COMMERCE CITY, CO 80022
(303) 286-2679
(303) 284-9687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9842
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52024326
—
CO
Enumeration date
10/10/2016
Last updated
10/21/2021
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