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Organization

DAVID J HAYUTIN DDS PROF LLC

Active
Other names
Cherry Creek Pediatric Dentistry Prof LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JOEL HAYUTIN DDS (MANAGER)
(303) 757-8844
Entity
Organization

Contact information

Practice address
5055 E KENTUCKY AVE, DENVER, CO 80246
(303) 757-8844
(303) 759-0994
Mailing address
5055 E KENTUCKY AVE, DENVER, CO 80246
(303) 757-8844
(303) 759-0994

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
83874330
CO
Enumeration date
08/09/2005
Last updated
08/22/2020
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