| Colorado Dental Specialist Practice, Llc | |
|
18121 E Hampden Ave Unit E Aurora CO 80013-3591 | |
| (303) 317-5335 | |
| Not Available |
| Full Name | Colorado Dental Specialist Practice, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18121 E Hampden Ave Unit E, Aurora, Colorado |
| Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5093158338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dental Specialist Practice, Llc 18121 E Hampden Ave Unit E Aurora CO 80013-3591 Ph: (303) 317-5335 | Colorado Dental Specialist Practice, Llc 18121 E Hampden Ave Unit E Aurora CO 80013-3591 Ph: (303) 317-5335 |
| NPI Number | 1518511146 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518511146 | NPI | - | NPPES |
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