| Grin Pediatric Dentistry & Orthodontics Of Centennial | |
|
6870 S University Blvd Centennial CO 80122-1515 | |
| (720) 277-5930 | |
| (720) 241-7811 |
| Full Name | Grin Pediatric Dentistry & Orthodontics Of Centennial |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6870 S University Blvd, Centennial, Colorado |
| Authorized Official Name and Position | Colton Flake (PRESIDENT) |
| Authorized Official Contact | 7202775930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grin Pediatric Dentistry & Orthodontics Of Centennial 6870 S University Blvd Ste O Centennial CO 80122-1515 Ph: (720) 277-5930 | Grin Pediatric Dentistry & Orthodontics Of Centennial 6870 S University Blvd Centennial CO 80122-1515 Ph: (720) 277-5930 |
| NPI Number | 1114166857 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114166857 | NPI | - | NPPES |
| 44075871 | Medicaid | CO |
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