Organization
PEDIATRIC DENTAL GROUP OF LAFAYETTE
Active
Other names
Dr. David Strange
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE HARTSHORN (PRACTICE MANAGER)
(720) 890-9494
Entity
Organization
Contact information
Practice address
300 EXEMPLA CIR STE 460, LAFAYETTE, CO 80026
(720) 890-9494
(720) 890-1444
Mailing address
300 EXEMPLA CIR STE 460, LAFAYETTE, CO 80026-3396
(720) 890-9494
(720) 890-1444
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39021378
—
CO
Enumeration date
04/04/2008
Last updated
05/21/2018
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