Organization
LPDG ROBIOUS ROAD PEDO PROFESSIONAL CORPORATION
Active
Other names
Midlothian Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ROMERO (CREDENTIALING SPECIALIST)
(720) 255-6371
Entity
Organization
Contact information
Practice address
11601 ROBIOUS RD STE 120, MIDLOTHIAN, VA 23113-5605
(804) 459-4888
Mailing address
4643 S ULSTER ST, DENVER, CO 80237-2853
(720) 603-4763
(720) 532-8809
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
04/20/2022
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