Organization
AURORA PEDO DENTAL, PLLC
Active
Other names
GRiN Pediatric Dentistry & Orthodontics of Aurora
Organization subpart
No
Provider details
NPI number
Authorized official
COLTON FLAKE DDS (MANAGING OFFICER)
(720) 579-8855
Entity
Organization
Contact information
Practice address
18801 E HAMPDEN AVE STE 178, AURORA, CO 80013-3587
(720) 277-5930
(720) 241-7811
Mailing address
6870 S UNIVERSITY BLVD, CENTENNIAL, CO 80122-1515
(720) 399-1227
(720) 241-7811
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01928376
—
CO
05
—
35759046
—
CO
05
—
44075871
—
CO
05
—
9000182876
—
CO
Enumeration date
08/26/2022
Last updated
09/25/2023
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