Organization
GALAXY SMILES FOR KIDS
Active
Other names
GALAXY SMILES FOR KIDS PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIP SIVAPRAKASAM DDS (OWNER)
(916) 342-2574
Entity
Organization
Contact information
Practice address
191 TELLURIDE ST UNIT 1, BRIGHTON, CO 80601-4356
(916) 342-2574
Mailing address
2857 IRONTON ST, DENVER, CO 80238-3214
(916) 342-2574
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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