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General NPI Number Information
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NPI Number | 1295092955
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Entity Type | Organization
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Legal Business Name | KIDS FIRST DENTAL, LLC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 9362 S COLORADO BLVD UNIT D14
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5207
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Country | US
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Telephone | 303-427-6300
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Fax | 720-344-2663
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Provider Business Mailing Address
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Address Line | 9362 S COLORADO BLVD UNIT D14
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5207
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Country | US
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Telephone | 303-427-6300
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Fax | 720-344-2663
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA SHORT
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Credential | D.M.D.
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Telephone | 303-427-6300
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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 | 9758
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License Number State | CO
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