Organization
KIDS FIRST DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SHORT D.M.D. (OWNER)
(303) 427-6300
Entity
Organization
Contact information
Practice address
9362 S COLORADO BLVD UNIT D14, HIGHLANDS RANCH, CO 80126-5207
(303) 427-6300
(720) 344-2663
Mailing address
9362 S COLORADO BLVD UNIT D14, HIGHLANDS RANCH, CO 80126-5207
(303) 427-6300
(720) 344-2663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9758
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56201346
—
CO
Enumeration date
04/19/2012
Last updated
04/19/2012
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