Imagine Kids Dentistry Pllc
NPI #1336786250 in Fountain, Colorado
Provider Information
- NPI Number
- 1336786250
- Entity Type
- Organization
- Organization Name
- Imagine Kids Dentistry Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 10, 2019
- Last Updated
- Feb 12, 2020
Practice Location
Authorized Official
- Name
- CHRISTOPHER JOHNSON, DDS
- Title
- OWNER/PEDIATRIC DENTIST
- Phone
- (719) 722-4999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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