| Green Valley Kids Pediatric Dentistry | |
|
4809 Argonne St Suite 230 Denver CO 80249-6834 | |
| (303) 371-4485 | |
| (303) 371-3904 |
| Full Name | Green Valley Kids Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4809 Argonne St, Denver, Colorado |
| Authorized Official Name and Position | Chris R Roberts (OWNER/PRESIDENT) |
| Authorized Official Contact | 3033714485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Kids Pediatric Dentistry 4809 Argonne St Suite 230 Denver CO 80249-6834 Ph: (303) 371-4485 | Green Valley Kids Pediatric Dentistry 4809 Argonne St Suite 230 Denver CO 80249-6834 Ph: (303) 371-4485 |
| NPI Number | 1134432743 |
|---|---|
| Provider Enumeration Date | 07/24/2010 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134432743 | NPI | - | NPPES |
| 47684291 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9944 (Colorado) | Primary |
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