Organization
JLS MANAGEMENT LLC
Active
Other names
Childrens Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN STRANGE (PRESIDENT)
(303) 935-1705
Entity
Organization
Contact information
Practice address
2789 W ALAMEDA AVE, DENVER, CO 80219-3042
(303) 935-1705
Mailing address
2789 W ALAMEDA AVE, DENVER, CO 80219-3042
(303) 935-1705
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0651
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73375781
—
CO
Enumeration date
04/12/2007
Last updated
08/22/2020
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