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25531 E Smoky Hill Rd Unit E Aurora CO 80016-1391 | |
| (720) 325-1489 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25531 E Smoky Hill Rd, Aurora, Colorado |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
25531 E Smoky Hill Rd Unit E Aurora CO 80016-1391 Ph: () - | 25531 E Smoky Hill Rd Unit E Aurora CO 80016-1391 Ph: (720) 325-1489 |
| NPI Number | 1821443649 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 04/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821443649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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