Organization
KIDS AND FAMILY ORTHODONTICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER BUMGARNER DDS (OWNER)
(303) 495-2801
Entity
Organization
Contact information
Practice address
40 W LITTLETON BLVD, SUITE 205, LITTLETON, CO 80120-2478
(303) 495-2801
Mailing address
40 W LITTLETON BLVD, SUITE 205, LITTLETON, CO 80120-2478
(303) 495-2801
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0334
CO
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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