Organization
CHILDREN'S DENTAL CENTER
Active
Parent organization
CHILDREN'S DENTAL CENTER
Other names
John R Sexton
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL CENTER
Authorized official
MRS. VALERIE LOPEZ (MANAGER)
(303) 985-0918
Entity
Organization
Contact information
Practice address
2323 S WADSWORTH BLVD, SUITE # 104, LAKEWOOD, CO 80227-3275
(303) 985-0918
(303) 985-2490
Mailing address
2323 S WADSWORTH BLVD, SUITE # 104, LAKEWOOD, CO 80227-3275
(303) 985-0918
(303) 985-2490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104708
CO
1223P0221X
Pediatric Dentistry
9060
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
105855
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04104709
—
CO
Enumeration date
03/24/2009
Last updated
03/24/2009
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