Organization
PEDIATRIC DENTAL GROUP OF EVERGREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M STRANGE JR. DDS (OWNER)
(303) 588-7575
Entity
Organization
Contact information
Practice address
30960 STAGECOACH BLVD STE W100, EVERGREEN, CO 80439-7902
(303) 670-7070
(303) 670-7071
Mailing address
15053 W 55TH DR, GOLDEN, CO 80403-2923
(303) 421-5437
(303) 422-5300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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