Organization
VILLAGE PARK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSTY KIP DAVIS DDS (PRESIDENT)
(303) 364-6455
Entity
Organization
Contact information
Practice address
11275 E MISSISSIPPI AVE, 2 SOUTH 3, AURORA, CO 80012-3263
(303) 364-6455
(303) 364-6455
Mailing address
11275 E MISSISSIPPI AVE, 2 SOUTH 3, AURORA, CO 80012-3263
(303) 364-6455
(303) 364-6455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9535
CO
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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