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Organization

AURORA PEDIATRIC DENTISTRY, PROF. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JOEL HAYUTIN DDS (MANAGER)
(720) 886-0808
Entity
Organization

Contact information

Practice address
5657 S HIMALAYA ST, STE 200, AURORA, CO 80015-5307
(720) 886-0808
(720) 886-0994
Mailing address
5657 S HIMALAYA ST, STE 200, AURORA, CO 80015-5307
(720) 886-0808
(720) 886-0994

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6181
CO
1223P0221X
Pediatric Dentistry
915
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38006219
CO
Enumeration date
07/19/2005
Last updated
08/22/2020
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