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Organization

KIDS AND FAMILY ORTHODONTICS

Active
Parent organization
KIDS AND FAMILY ORTHODONTICS,LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIDS AND FAMILY ORTHODONTICS,LLC
Authorized official
ROGER BUMGARNER DDS (OWNER)
(303) 495-2801
Entity
Organization

Contact information

Practice address
4844 CHAMBERS RD, DENVER, CO 80239-5152
(303) 495-2801
Mailing address
4844 CHAMBERS RD, DENVER, CO 80239-5152

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
01/04/2021
Last updated
01/04/2021
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