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Contact Information

CLINICA DENTAL LATINA
11175 E MISSISSIPPI AVE
SUITE 100
AURORA, CO80012-3137
 Phone: 303-364-9831
 Fax: 303-364-7985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for CLINICA DENTAL LATINA

NPI Number 1639323496
LBN Legal business name CLINICA DENTAL LATINA
Authorized official GIACOMO GAMIBINI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2008
Last updated 03/30/2009 - About 17 years ago
Identifiers
CO License # 8424
CO Medicaid 31601766
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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