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Organization

SIGNATURE DENTISTRY OF AURORA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BENNETT (PARTNER/OWNER)
(303) 690-0877
Entity
Organization

Contact information

Practice address
13764 E QUINCY AVE, AURORA, CO 80015-1129
(303) 423-7298
Mailing address
13764 E QUINCY AVE, AURORA, CO 80015-1129
(303) 423-7298

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10483
CO
122300000X
Dentist
Primary
7665
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003936147
INDIVIDUAL NPI
CO
01
1386911857
INDIVIDUAL NPI
CO
Enumeration date
02/22/2017
Last updated
02/22/2017
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