Individual
JOSHUA TIMOTHY PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6101 S JERICHO WAY, CENTENNIAL, CO 80016-1273
(774) 578-6849
Mailing address
6101 S JERICHO WAY, CENTENNIAL, CO 80016-1273
(774) 578-6849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202467
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN.00202467
DENTAL LICENSE
CO
Enumeration date
03/27/2015
Last updated
03/27/2015
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