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Organization

SOUTHMOOR PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY R. SMITH (PRESIDENT)
(303) 799-1872
Entity
Organization

Contact information

Practice address
6850 E HAMPDEN AVE, DENVER, CO 80224-3024
(303) 758-6057
(303) 692-9655
Mailing address
6850 E HAMPDEN AVE, DENVER, CO 80224-3024
(303) 758-6057
(303) 692-9655

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
04949
CO

Other

Enumeration date
12/12/2005
Last updated
01/11/2021
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