Organization
HERO DENTAL OF NE DENVER PC
Active
Other names
Adventure Dental, Vision and Orthodonitcs
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
9333 E COLFAX AVE, AURORA, CO 80010-1919
(720) 697-5332
(720) 257-5337
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN00007992
CO
122300000X
Dentist
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57720096
—
CO
Enumeration date
12/01/2015
Last updated
11/18/2020
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