Organization
LONE TREE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS W MINER DMD (DMD)
(303) 793-0899
Entity
Organization
Contact information
Practice address
10450 PARK MEADOWS DR, #308, LONE TREE, CO 80124-5529
(303) 793-0899
(303) 793-0895
Mailing address
10450 PARK MEADOWS DR, #308, LONE TREE, CO 80124-5529
(303) 793-0899
(303) 793-0895
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10431
CO
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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