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6040 S Gun Club Rd Unit G3 Aurora CO 80016-5305 | |
| (303) 693-9600 | |
| (303) 693-9601 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6040 S Gun Club Rd Unit G3, Aurora, Colorado |
| Authorized Official Name and Position | Fatma M Habil (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3036670579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11310 Huron St Ste 210 Northglenn CO 80234-3090 Ph: (303) 667-0579 | 6040 S Gun Club Rd Unit G3 Aurora CO 80016-5305 Ph: (303) 693-9600 |
| NPI Number | 1396330379 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396330379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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