Organization
ALL KIDS DENTAL PEDIATRICS AND ORTHODONTICS
Active
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
Update your record
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