| Ticket To Smiles Children's Dental Center | |
|
12373 E Cornell Ave # 16 Aurora CO 80014-3323 | |
| (303) 750-7750 | |
| Not Available |
| Full Name | Ticket To Smiles Children's Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12373 E Cornell Ave # 16, Aurora, Colorado |
| Authorized Official Name and Position | Andrew T Nguyen (PRESIDENT) |
| Authorized Official Contact | 3037507750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ticket To Smiles Children's Dental Center 12373 E Cornell Ave # 16 Aurora CO 80014-3323 Ph: (303) 750-7750 | Ticket To Smiles Children's Dental Center 12373 E Cornell Ave # 16 Aurora CO 80014-3323 Ph: (303) 750-7750 |
| NPI Number | 1376702787 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376702787 | NPI | - | NPPES |
| 77123816 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9177 (Colorado) | Primary |
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