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General NPI Number Information
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NPI Number | 1154645588
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PEDIATRIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 03/14/2010
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Last Update Date | 03/14/2010
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Provider Practice Location Address
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Address Line | 11961 BRADBURN BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80031-5092
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Country | US
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Telephone | 303-319-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 13447 KRAMERIA ST
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City | THORNTON
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State | CO
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Zip | 80602-9245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID DANIEL SCHLEICHER
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Credential | DDS
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Telephone | 303-319-5465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8644
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License Number State | CO
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