Organization
LITTLE ROCKIES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW F BRADY DDS (OWNER)
(720) 638-6114
Entity
Organization
Contact information
Practice address
10371 PARKGLENN WAY, SUITE 260, PARKER, CO 80138-3885
(720) 367-5271
Mailing address
10371 PARKGLENN WAY, SUITE 260, PARKER, CO 80138-3885
(720) 367-5271
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
00201885
CO
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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