| Kott Pediatric Dentistry | |
|
1440 28th St Suite 1 Boulder CO 80303-1030 | |
| (303) 938-1000 | |
| (303) 938-1001 |
| Full Name | Kott Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1440 28th St, Boulder, Colorado |
| Authorized Official Name and Position | Ian Kott (OWNER) |
| Authorized Official Contact | 3039381000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kott Pediatric Dentistry 1440 28th St Suite 1 Boulder CO 80303-1030 Ph: (303) 938-1000 | Kott Pediatric Dentistry 1440 28th St Suite 1 Boulder CO 80303-1030 Ph: (303) 938-1000 |
| NPI Number | 1689978637 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689978637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9907 (Colorado) | Primary |
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