| Colorado Dentistry For Children Llc | |
|
242 Cambridge St Brush CO 80723-1608 | |
| (970) 387-8737 | |
| Not Available |
| Full Name | Colorado Dentistry For Children Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 242 Cambridge St, Brush, Colorado |
| Authorized Official Name and Position | Jeffrey Owen Young (OWNER) |
| Authorized Official Contact | 3035486593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dentistry For Children Llc 15795 Wild Horse Dr Broomfield CO 80023-9433 Ph: (303) 548-6593 | Colorado Dentistry For Children Llc 242 Cambridge St Brush CO 80723-1608 Ph: (970) 387-8737 |
| NPI Number | 1861946832 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861946832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 106265 (Colorado) | Primary |
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