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Contact Information

AURORA PEDIATRIC DENTISTRY, PROF. LLC
5657 S HIMALAYA ST
STE 200
AURORA, CO80015-5307
 Phone: 720-886-0808
 Fax: 720-886-0994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for AURORA PEDIATRIC DENTISTRY PROF LLC · (Female)

NPI # 1609875830
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 6181
  • WY License # 915
  • CO Medicaid 38006219
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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