Organization
KIDS MILE HIGH PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAEL OWENS DDS (OWNER/ORTHODONTIST)
(303) 744-1701
Entity
Organization
Contact information
Practice address
125 INVERNESS DR E STE 300, ENGLEWOOD, CO 80112-5139
(303) 779-5306
Mailing address
1780 S BELLAIRE ST STE 345, DENVER, CO 80222-4355
(303) 744-1701
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8538
CO
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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