| Juan Materon | |
|
11275 E Mississippi Ave Ste 1e3 Aurora CO 80012-2818 | |
| (720) 440-2233 | |
| (303) 557-6102 |
| Full Name | Juan Materon |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11275 E Mississippi Ave Ste 1e3, Aurora, Colorado |
| Authorized Official Name and Position | Mary Lou A Posada (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7202763046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Materon 11275 E Mississippi Ave Ste 1e3 Aurora CO 80012-2818 Ph: (720) 440-2233 | Juan Materon 11275 E Mississippi Ave Ste 1e3 Aurora CO 80012-2818 Ph: (720) 440-2233 |
| NPI Number | 1093303117 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093303117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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