Individual
MR. JUAN C MATERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11275 E MISSISSIPPI AVE STE 1E3, AURORA, CO 80012-2818
(720) 440-2233
(303) 557-6102
Mailing address
11275 E MISSISSIPPI AVE, AURORA, CO 80012-3263
(720) 440-2233
(303) 557-6102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7568
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02075687
—
CO
Enumeration date
08/31/2006
Last updated
12/28/2020
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