Organization
TICKET TO SMILES PC
Active
Other names
Ticket to Smiles Children's Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW T NGUYEN DDS (PRESIDENT)
(303) 750-7750
Entity
Organization
Contact information
Practice address
12373 E CORNELL AVE # 16, AURORA, CO 80014-3323
(303) 750-7750
Mailing address
12373 E CORNELL AVE # 16, AURORA, CO 80014-3323
(303) 750-7750
(303) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77123816
—
CO
Enumeration date
06/02/2008
Last updated
08/31/2011
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