Organization
KIDS TOOTH DOC
Active
Other names
Rocky Mountain Kids Dentistry, Childrens Dental Specialist of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FOX (MANAGER)
(303) 947-7705
Entity
Organization
Contact information
Practice address
5168 S BROADWAY, ENGLEWOOD, CO 80113-6706
(303) 974-5868
Mailing address
5168 S BROADWAY, ENGLEWOOD, CO 80113-6706
(303) 974-5868
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92133312
—
CO
Enumeration date
06/06/2013
Last updated
12/03/2024
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