Organization
SMILE AURORA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANA KIM D.D.S. (PRESIDENT)
(310) 562-9585
Entity
Organization
Contact information
Practice address
2900 S PEORIA ST STE A, AURORA, CO 80014-3182
(310) 562-9585
(303) 368-3631
Mailing address
2900 S PEORIA ST STE A, AURORA, CO 80014-3182
(303) 368-3636
(303) 368-3631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202980
CO
261QD0000X
Dental Clinic/Center
00202980
CO
261QD0000X
Dental Clinic/Center
59646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720393846
—
CA
Enumeration date
07/28/2016
Last updated
10/25/2016
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