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Organization

PDC LOS NINOS LLC

Active
Other names
Los Ninos
Organization subpart
No

Provider details

NPI number
Authorized official
KENDALL BRENT SKINNER DMD (GENERAL DENTIST)
(303) 777-5437
Entity
Organization

Contact information

Practice address
1250 S SHERIDAN BLVD, DENVER, CO 80232-8022
(303) 777-5437
Mailing address
2476 N UNIVERSITY PKWY STE 201, PROVO, UT 84604-3869
(801) 305-3460
(801) 692-9083

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2924138903
UT

Other

Enumeration date
04/15/2016
Last updated
04/15/2016
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