| Kids Mile High Thornton Pllc | |
|
7375 E. 128th Ave Thornton CO 80602 | |
| (443) 695-9970 | |
| Not Available |
| Full Name | Kids Mile High Thornton Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7375 E. 128th Ave, Thornton, Colorado |
| Authorized Official Name and Position | Roger Castro (OWNER) |
| Authorized Official Contact | 3033995437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Mile High Thornton Pllc 2373 Central Park Blvd Unit 305 Denver CO 80238-2301 Ph: (303) 399-5437 | Kids Mile High Thornton Pllc 7375 E. 128th Ave Thornton CO 80602 Ph: (443) 695-9970 |
| NPI Number | 1427521509 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427521509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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