# AURORA DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881026854
- **Authorized official:** DR. KATHY J TOMLISON D.D.S. (OWNER)
- **Authorized official phone:** (720) 217-5794

## Contact information

- **Practice address:** 724 PEORIA ST, AURORA, CO 80011-8231
- **Practice address phone:** (303) 745-2052
- **Practice address fax:** (303) 745-2189
- **Mailing address:** 724 PEORIA ST, AURORA, CO 80011-8231
- **Mailing address phone:** (303) 745-2052
- **Mailing address fax:** (303) 745-2189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 305R00000X | Preferred Provider Organization | 8412 | CO | Yes |

## Other

- **Enumeration date:** 08/01/2013
- **Last updated:** 12/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1477665164 | — | CO |