| Galaxy Smiles For Kids | |
|
191 Telluride St Unit 1 Brighton CO 80601-4356 | |
| (916) 342-2574 | |
| Not Available |
| Full Name | Galaxy Smiles For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 191 Telluride St Unit 1, Brighton, Colorado |
| Authorized Official Name and Position | Prathip Sivaprakasam (OWNER) |
| Authorized Official Contact | 9163422574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galaxy Smiles For Kids 2857 Ironton St Denver CO 80238-3214 Ph: (916) 342-2574 | Galaxy Smiles For Kids 191 Telluride St Unit 1 Brighton CO 80601-4356 Ph: (916) 342-2574 |
| NPI Number | 1861187056 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861187056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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