| The Children's Hospital Pediatric Dentistry | |
|
13123 E 16th Ave B240 Aurora CO 80045-7106 | |
| (303) 861-6788 | |
| (303) 837-2809 |
| Full Name | The Children's Hospital Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13123 E 16th Ave, Aurora, Colorado |
| Authorized Official Name and Position | Janine Costantini (DIRECTOR, AMBULATORY PRACTICE) |
| Authorized Official Contact | 7207773951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Hospital Pediatric Dentistry 13123 E 16th Ave B240 Aurora CO 80045-7106 Ph: (303) 861-6788 | The Children's Hospital Pediatric Dentistry 13123 E 16th Ave B240 Aurora CO 80045-7106 Ph: (303) 861-6788 |
| NPI Number | 1457449951 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457449951 | NPI | - | NPPES |
| 04004560 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8519 (Colorado) | Primary |
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