Organization
ALL KIDS DENTAL PEDIATRICS AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA MULKAY (INSURANCE CREDENTIALING)
(970) 928-9500
Entity
Organization
Contact information
Practice address
204 W HYMAN AVE, ASPEN, CO 81611-1753
(970) 928-9500
(970) 928-7467
Mailing address
2624 GRAND AVE STE 200, GLENWOOD SPRINGS, CO 81601-4676
(970) 928-9500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89222385
—
CO
Enumeration date
03/01/2021
Last updated
03/01/2021
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