| Mountain Valley Kids Dental | |
|
105 Edwards Village Blvd Unit 202 Edwards CO 81632-3211 | |
| (970) 926-8486 | |
| Not Available |
| Full Name | Mountain Valley Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 Edwards Village Blvd Unit 202, Edwards, Colorado |
| Authorized Official Name and Position | Thomas Blake Higgins (OWNER) |
| Authorized Official Contact | 9703904662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Kids Dental 2055 Vermont Rd Vail CO 81657-3802 Ph: (970) 390-4662 | Mountain Valley Kids Dental 105 Edwards Village Blvd Unit 202 Edwards CO 81632-3211 Ph: (970) 926-8486 |
| NPI Number | 1013681741 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013681741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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