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Aurora Periodontics & Implant Dentistry

Dentist, Periodontics in Centennial, CO. Organization (NPI-2).

NPI number1730458050
StatusActive
Last updated in NPPESDec 14, 2011

Details

NPI
1730458050
Entity type
Organization (NPI-2)
Legal business name
Aurora Periodontics & Implant Dentistry
Organization subpart
No
Enumeration date
Dec 14, 2011
Last updated
Dec 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics10488COYes

Practice location

20971 E Smoky Hill Rd Ste 202
Centennial, CO 80015-5187

Phone 303-400-1100 · Fax 303-400-4422

Mailing address

20971 E Smoky Hill Rd Ste 202
Centennial, CO 80015-5187

Phone 303-400-1100 · Fax 303-400-4422

Authorized official

Eric Paul Anderson
Owner
3034001100

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