Organization
A KIDZ CLINIC
Active
Other names
A Kidz Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DOCKTER (EXECUTIVE DIRECTOR)
(970) 874-2753
Entity
Organization
Contact information
Practice address
360 E 8TH ST, DELTA, CO 81416-2379
(970) 874-2753
(970) 874-2943
Mailing address
360 E 8TH ST, DELTA, CO 81416-2379
(970) 874-2753
(970) 399-7005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
08/02/2023
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