Individual
MATTHEW WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13065 E 17TH AVE, AURORA, CO 80045-2532
(303) 724-6900
Mailing address
PO BOX 22135, DENVER, CO 80222-0135
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
202321
CO
Other
Enumeration date
08/05/2014
Last updated
11/15/2024
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