| Children's Dentistry | |
|
3795 S Colorado Blvd Englewood CO 80113-4202 | |
| (303) 522-4703 | |
| Not Available |
| Full Name | Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3795 S Colorado Blvd, Englewood, Colorado |
| Authorized Official Name and Position | Lisa Carlson-marks (OWNER) |
| Authorized Official Contact | 3035942214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry 730 Potomac St #306 Aurora CO 80011-6703 Ph: (303) 537-0234 | Children's Dentistry 3795 S Colorado Blvd Englewood CO 80113-4202 Ph: (303) 522-4703 |
| NPI Number | 1679731764 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679731764 | NPI | - | NPPES |
| 04474562 | Medicaid | CO | |
| 71905774 | Medicaid | CO | |
| 56982771 | Medicaid | CO | |
| 55931375 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7396 (Colorado) | Primary |
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