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Organization

PARADISE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BORIS SMORODA (MANAGER)
(720) 220-1377
Entity
Organization

Contact information

Practice address
10691 E BETHANY DR, UNIT 900, AURORA, CO 80014-2643
(720) 220-1377
Mailing address
10691 E BETHANY DR, UNIT 900, AURORA, CO 80014-2643
(720) 220-1377

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38776561
CO
05
96507080
CO
Enumeration date
09/14/2009
Last updated
09/14/2009
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