| |
1700 S Chambers Rd Aurora CO 80017-5023 | |
(303) 337-0789 | |
(303) 671-2601 |
Full Name | |
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Speciality | Dentist |
Location | 1700 S Chambers Rd, Aurora, Colorado |
Authorized Official Name and Position | Norma Berenice Grijalua (OFFICE MANAGER) |
Authorized Official Contact | 3033370789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1700 S Chambers Rd Aurora CO 80017-5023 Ph: (303) 337-0789 | 1700 S Chambers Rd Aurora CO 80017-5023 Ph: (303) 337-0789 |
NPI Number | 1841342300 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841342300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6619 (Colorado) | Primary |
122300000X | Dentist | 8934 (Colorado) | Secondary |
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