Organization
KIDS DENTAL FEDERAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGI EVANS (CREDENTIALING SPECIALIST)
(720) 603-4800
Entity
Organization
Contact information
Practice address
2001 W ALAMEDA AVE UNIT D, DENVER, CO 80223-1988
(303) 937-7511
Mailing address
2001 W ALAMEDA AVE UNIT D, DENVER, CO 80223-1988
(303) 937-7511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
10/17/2024
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