| Peoria St. Dental And Orthodontics Pllc | |
|
757 Peoria St Ste D Aurora CO 80011-8262 | |
| (817) 529-8151 | |
| (817) 928-1681 |
| Full Name | Peoria St. Dental And Orthodontics Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 757 Peoria St Ste D, Aurora, Colorado |
| Authorized Official Name and Position | Raffy Kouyoumdjian (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoria St. Dental And Orthodontics Pllc 100 E 15th St Ste 520 Fort Worth TX 76102-6566 Ph: (817) 529-8151 | Peoria St. Dental And Orthodontics Pllc 757 Peoria St Ste D Aurora CO 80011-8262 Ph: (817) 529-8151 |
| NPI Number | 1417526294 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417526294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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