| University Of Colorado School Of Dental Medicine | |
|
13065 E 17th Ave Aurora CO 80045-2532 | |
| (303) 724-7044 | |
| (303) 724-6999 |
| Full Name | University Of Colorado School Of Dental Medicine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13065 E 17th Ave, Aurora, Colorado |
| Authorized Official Name and Position | Randy Kluender (ASSOCIATE DEAN OF ACADEMIC AFFAIRS) |
| Authorized Official Contact | 3037247124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Colorado School Of Dental Medicine 13065 E 17th Ave Aurora CO 80045-2532 Ph: (303) 724-7044 | University Of Colorado School Of Dental Medicine 13065 E 17th Ave Aurora CO 80045-2532 Ph: (303) 724-7044 |
| NPI Number | 1104127695 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104127695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 200936 (Colorado) | Primary |
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