Organization
5TH AVE SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTICE OSEI TUTU (DENTAL HYGIENIST)
(303) 360-7462
Entity
Organization
Contact information
Practice address
2044 CLINTON ST UNIT B, AURORA, CO 80010-1003
(303) 360-7462
(303) 360-7475
Mailing address
2044 CLINTON ST UNIT B, AURORA, CO 80010-1003
(303) 360-7462
(303) 360-7475
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024345
CO
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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