Organization
CLINICA DENTAL LATINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIACOMO GAMIBINI D.D (OWNER)
(303) 364-9831
Entity
Organization
Contact information
Practice address
11175 E MISSISSIPPI AVE, SUITE 100, AURORA, CO 80012-3137
(303) 364-9831
(303) 364-7985
Mailing address
11175 E MISSISSIPPI AVE, SUITE 100, AURORA, CO 80012-3137
(303) 364-9831
(303) 364-7985
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
8424
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31601766
—
CO
Enumeration date
11/06/2008
Last updated
03/30/2009
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