Organization
SHINING STARS KIDS DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MUSANJE DDS (DENTIST/OWNER)
(303) 237-2300
Entity
Organization
Contact information
Practice address
6999 W. ALASKA DR., LAKEWOOD, CO 80226
(303) 237-2300
(303) 237-4880
Mailing address
6999 W. ALASKA DR., LAKEWOOD, CO 80226
(303) 237-2300
(303) 237-4880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9842
CO
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52024326
—
CO
Enumeration date
04/12/2011
Last updated
10/10/2013
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