| Kids Mile High Pediatric Dentistry And Orthodontics, Pllc | |
|
125 Inverness Dr E Ste 300 Englewood CO 80112-5139 | |
| (303) 779-5306 | |
| Not Available |
| Full Name | Kids Mile High Pediatric Dentistry And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 125 Inverness Dr E Ste 300, Englewood, Colorado |
| Authorized Official Name and Position | Justin Michael Owens (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 3037441701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Mile High Pediatric Dentistry And Orthodontics, Pllc 1780 S Bellaire St Ste 345 Denver CO 80222-4355 Ph: (303) 744-1701 | Kids Mile High Pediatric Dentistry And Orthodontics, Pllc 125 Inverness Dr E Ste 300 Englewood CO 80112-5139 Ph: (303) 779-5306 |
| NPI Number | 1306336318 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306336318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8538 (Colorado) | Primary |
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