| Kids Tooth Doc | |
|
361 Village Square Ln Suite 100 Castle Pines CO 80108-3655 | |
| (303) 974-5868 | |
| Not Available |
| Full Name | Kids Tooth Doc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 361 Village Square Ln, Castle Pines, Colorado |
| Authorized Official Name and Position | Brian Fox (MANAGER) |
| Authorized Official Contact | 3039745868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Tooth Doc 5168 S Broadway Englewood CO 80113-6706 Ph: (303) 974-5868 | Kids Tooth Doc 361 Village Square Ln Suite 100 Castle Pines CO 80108-3655 Ph: (303) 974-5868 |
| NPI Number | 1760924203 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760924203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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