Organization
KIDS AND FAMILY ORTHODONTICS
Active
Parent organization
KIDS AND FAMILY ORTHODONTICS,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS AND FAMILY ORTHODONTICS,LLC
Authorized official
ROGER BUMGARNER DDS (OWNER)
(303) 495-2801
Entity
Organization
Contact information
Practice address
1490 S SHERIDAN BLVD UNIT 102, DENVER, CO 80232-8006
(303) 495-2801
Mailing address
1490 S SHERIDAN BLVD UNIT 102, DENVER, CO 80232-8006
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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