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Organization

1075 S. PEORIA LLC

Active
Parent organization
DENTAL ASSOCIATES OF AURORA
Other names
1 Day Dentures
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL ASSOCIATES OF AURORA
Authorized official
SEUNG LEE DDS (OWNER)
(303) 577-0377
Entity
Organization

Contact information

Practice address
1075 S PEORIA ST, AURORA, CO 80012-3413
(303) 341-4878
Mailing address
1075 S PEORIA ST, AURORA, CO 80012-3413
(303) 341-4878

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7478
CO
122300000X
Dentist
9056
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78931541
CO
05
96928832
CO
Enumeration date
04/09/2014
Last updated
04/09/2014
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