| Aurora Family Dental Care | |
|
14221 E 4th Ave Ste 222 Aurora CO 80011-8735 | |
| (303) 344-1227 | |
| (303) 344-1827 |
| Full Name | Aurora Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 14221 E 4th Ave, Aurora, Colorado |
| Authorized Official Name and Position | Tommy H Lee (OWNER) |
| Authorized Official Contact | 3033441227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Family Dental Care 14221 E 4th Ave Ste 222 Aurora CO 80011-8735 Ph: (303) 344-1227 | Aurora Family Dental Care 14221 E 4th Ave Ste 222 Aurora CO 80011-8735 Ph: (303) 344-1227 |
| NPI Number | 1871755520 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871755520 | NPI | - | NPPES |
| 25979582 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9264 (Colorado) | Primary |
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