Organization
DENTAL AID, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASIA MAXWELL (EXECUTIVE DIRECTOR)
(303) 665-8228
Entity
Organization
Contact information
Practice address
877 E. SOUTH BOULDER ROAD, LOUISVILLE, CO 80027
(303) 665-8228
(303) 200-7375
Mailing address
877 E SOUTH BOULDER RD STE 200, LOUISVILLE, CO 80027-1345
(303) 655-8228
(303) 200-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004172
—
CO
05
—
23800054
—
CO
05
—
9000102463
—
CO
Enumeration date
08/11/2006
Last updated
10/15/2020
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