Organization
NEO KIDS DENTISTRY & THE NEW ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KENT LAUSON DDS, MS (OWNER)
(303) 690-0400
Entity
Organization
Contact information
Practice address
9400 STATION ST, SUITE 100, LONE TREE, CO 80124-6808
(303) 690-0400
Mailing address
14991 E HAMPDEN AVE STE 300, AURORA, CO 80014-3987
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN00202083
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN00000758
CO
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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