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1155 S. Havana Street Suite 43 Aurora CO 80012-4017 | |
| (720) 213-0004 | |
| (216) 584-1367 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1155 S. Havana Street, Aurora, Colorado |
| Authorized Official Name and Position | Rachel Nittinger (MANAGER CREDENTIALING) |
| Authorized Official Contact | 9727550816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: () - | 1155 S. Havana Street Suite 43 Aurora CO 80012-4017 Ph: (720) 213-0004 |
| NPI Number | 1942385778 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942385778 | NPI | - | NPPES |
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