Individual
IVAN QUINTANA HIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11246 E MISSISSIPPI AVE, AURORA, CO 80012-3202
(303) 344-0810
Mailing address
11246 E MISSISSIPPI AVE, AURORA, CO 80012-3202
(303) 344-0810
(303) 344-5309
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2017002288
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00204448
CO
Other
Enumeration date
02/02/2017
Last updated
10/26/2021
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