Organization
JUAN MATERON
Active
Other names
Tu Sonrisa Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LOU A POSADA (CREDENTIALING SPECIALIST)
(720) 276-3046
Entity
Organization
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 STE 1E3, AURORA, CO 80012-2818
(720) 440-2233
(303) 557-6102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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