Organization
KID'S DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BURTENSHAW (OWNER)
(303) 331-6511
Entity
Organization
Contact information
Practice address
7901 E COLFAX AVE, DENVER, CO 80220-2032
(303) 331-6511
(303) 331-6513
Mailing address
7901 E COLFAX AVE, DENVER, CO 80220-2032
(303) 331-6511
(303) 331-6513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95500014
—
CO
Enumeration date
07/27/2005
Last updated
07/21/2022
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