Clover Pediatric Dentistry PLLC
Dentist, Pediatric Dentistry in Arvada, CO. Organization (NPI-2).
NPI number1497345839
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1497345839
- Entity type
- Organization (NPI-2)
- Legal business name
- Clover Pediatric Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Clover Kids Dentistry (Doing Business As)
Practice location
14749 W 87th Pkwy Unit AArvada, CO 80005-1337
Phone 720-805-0707 · Fax 720-805-0188
Mailing address
14749 W 87th Pkwy Unit AArvada, CO 80005-1337
Phone 720-805-0707 · Fax 720-805-0188
Authorized official
Betty Yip
Owner, Pediatric Dentist
7208050707
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