Individual
MAKENNA KAE FOPMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12357 E CORNELL AVE # 10, AURORA, CO 80014-3323
(303) 337-5800
Mailing address
12357 E CORNELL AVE # 10, AURORA, CO 80014-3323
(303) 337-5800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205595
CO
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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