Organization
5280 PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK STEPHEN OWENS DDS (OWNER)
(303) 349-6480
Entity
Organization
Contact information
Practice address
10463 PARK MEADOWS DR, SUITE 206, LONE TREE, CO 80124-5316
(303) 601-5280
Mailing address
10463 PARK MEADOWS DR, SUITE 206, LONE TREE, CO 80124-5316
(303) 601-5280
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0020124
CO
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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