Organization
PEDIATRIC DENTISTRY OF LOVELAND PLLC
Active
Other names
Pediatric Dentistry of Loveland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE SUZANNE GALM DDS (PEDIATRIC DENTIST)
(970) 669-7711
Entity
Organization
Contact information
Practice address
2800 MADISON SQUARE DR STE 1, LOVELAND, CO 80538-3358
(970) 669-7711
(970) 669-2491
Mailing address
2800 MADISON SQUARE DR STE 1, LOVELAND, CO 80538-3358
(970) 669-7711
(970) 669-2491
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN-9679
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02009462
—
CO
05
—
03205568
—
CO
05
—
66472270
—
CO
Enumeration date
10/31/2017
Last updated
10/31/2017
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