Organization
RANI KOGANTI KAZA DDS PLLC
Active
Other names
Spruce Canyon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANI KOGANTI KAZA DDS (OWNER)
(720) 222-3132
Entity
Organization
Contact information
Practice address
21699 E QUINCY AVE UNIT H, AURORA, CO 80015-2886
(720) 222-3132
(720) 330-9919
Mailing address
21699 E QUINCY AVE UNIT H, AURORA, CO 80015-2886
(720) 222-3132
(720) 330-9919
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083844328
—
CO
Enumeration date
05/02/2019
Last updated
06/11/2019
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