Organization
COLORADO DENTISTRY FOR CHILDREN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY OWEN YOUNG D.D.S. (OWNER)
(303) 548-6593
Entity
Organization
Contact information
Practice address
242 CAMBRIDGE ST, BRUSH, CO 80723-1608
(970) 387-8737
Mailing address
15795 WILD HORSE DR, BROOMFIELD, CO 80023-9433
(303) 548-6593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
106265
CO
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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