Organization
COURTNEY R. COLLEGE, DDS, MS, PC
Active
Other names
kids to college pediatric dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY R. COLLEGE DDS.MS (PRESIDENT)
(303) 674-0779
Entity
Organization
Contact information
Practice address
31955 CASTLE CT, EVERGREEN, CO 80439-3508
(303) 674-0779
(303) 979-0140
Mailing address
31955 CASTLE CT, EVERGREEN, CO 80439-3508
(303) 674-0779
(303) 979-0140
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072221
—
CO
Enumeration date
02/09/2021
Last updated
02/09/2021
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