Individual
DR. QUEN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13123 E 16TH AVE # B240, AURORA, CO 80045-7106
(720) 777-6788
Mailing address
13123 E 16TH AVE # B240, AURORA, CO 80045-7106
(720) 777-6788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00010294
CO
1223D0004X
Dental Anesthesiology
Primary
DEN.00010294
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23423285
—
CO
Enumeration date
05/30/2008
Last updated
11/19/2018
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