Pedo Three, Prof. LLC

NPI #1114166857 in Centennial, Colorado

Provider Information

NPI Number: 1114166857
Entity Type: Organization
Organization Name: Pedo Three, Prof. LLC
Primary Specialty: Dentist
Enumeration Date: Feb 18, 2009
Last Updated: Sep 12, 2023

Practice Location

Address: 6870 S UNIVERSITY BLVD
City: Centennial
State: Colorado
ZIP Code: 80122-1515
Phone: (720) 277-5930

Authorized Official

Name: DR. COLTON FLAKE, DDS
Title: PRESIDENT
Phone: (720) 277-5930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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