Organization
ENDODONTICS OF COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHANDA NICOLE CLAYTON (OFFICE MANAGER)
(303) 696-1919
Entity
Organization
Contact information
Practice address
11200 E MISSISSIPPI AVE, AURORA, CO 80012-3260
(303) 696-1919
(303) 696-1958
Mailing address
11200 E MISSISSIPPI AVE, AURORA, CO 80012-3260
(303) 696-1919
(303) 696-1958
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
7087
CO
1223E0200X
Endodontics
Primary
7507
CO
1223E0200X
Endodontics
8063
CO
1223E0200X
Endodontics
8646
CO
1223E0200X
Endodontics
9385
CO
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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