Organization
PEDIATRIC DENTAL GROUP MANAGMENT
Active
Other names
Pediatric Dental Group of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BARDEN (PRACTICE MANAGER)
(303) 421-5437
Entity
Organization
Contact information
Practice address
7975 ALLISON WAY, ARVADA, CO 80005-4428
(303) 421-5437
Mailing address
7975 ALLISON WAY, ARVADA, CO 80005-4428
(303) 421-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02078434
—
CO
Enumeration date
02/21/2017
Last updated
02/21/2017
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