Organization
NICHOLS & SNAVELY PEDIATRIC DENTISTRY, PLLC
Active
Other names
Tennyson Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELSEY DORINE SNAVELY AKIN DDS (MANAGER)
(303) 261-7029
Entity
Organization
Contact information
Practice address
4383 TENNYSON ST UNIT 1-F, DENVER, CO 80212-2315
(303) 261-7029
Mailing address
11201 RODEO CIR, PARKER, CO 80138-7346
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9659
CO
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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