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5657 S Himalaya St Ste 200 Aurora CO 80015-5309 | |
| (720) 886-0808 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5657 S Himalaya St Ste 200, Aurora, Colorado |
| Authorized Official Name and Position | Christopher Nakamura (OWNER) |
| Authorized Official Contact | 7208860808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5657 S Himalaya St Ste 200 Aurora CO 80015-5309 Ph: (720) 886-0808 | 5657 S Himalaya St Ste 200 Aurora CO 80015-5309 Ph: (720) 886-0808 |
| NPI Number | 1962017541 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 04/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962017541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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