Organization
A KIDZ DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SALYER (MANAGER)
(970) 879-7976
Entity
Organization
Contact information
Practice address
1560 PINE GROVE ROAD, SUITE C, STEAMBOAT SPRINGS, CO 80477
(970) 879-7976
Mailing address
PO BOX 882830, STEAMBOAT SPRINGS, CO 80488-2830
(970) 879-7976
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7535
CO
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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