| Life Pediatric Dentistry | |
|
4262 Royal Pine Dr Ste 100 Colorado Springs CO 80920-2824 | |
| (719) 413-8446 | |
| Not Available |
| Full Name | Life Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4262 Royal Pine Dr Ste 100, Colorado Springs, Colorado |
| Authorized Official Name and Position | Elizabeth Paulsen (OWNER) |
| Authorized Official Contact | 4159906229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Pediatric Dentistry 505 N Bear Paw Ln Colorado Springs CO 80906-3279 Ph: (415) 990-6229 | Life Pediatric Dentistry 4262 Royal Pine Dr Ste 100 Colorado Springs CO 80920-2824 Ph: (719) 413-8446 |
| NPI Number | 1326864778 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326864778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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