Organization
SIMPLY KIDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN VOSTATEK (MANAGING PARTNER)
(719) 598-5437
Entity
Organization
Contact information
Practice address
1910 VINDICATOR DR, SUITE 103, COLORADO SPRINGS, CO 80919-3623
(719) 598-5437
Mailing address
1910 VINDICATOR DR, SUITE 103, COLORADO SPRINGS, CO 80919-3623
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9884
CO
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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