Individual
CONSTANZA LILIANA CUBILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
535 W S BOULDER RD STE 200, LAFAYETTE, CO 80026-2094
(303) 604-2804
Mailing address
4550 CHERRY CREEK SOUTH DR APT 2208, DENVER, CO 80246-1545
(720) 448-4618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9840
CO
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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