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Individual

KATHERINE CHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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
7703
CO
1223P0221X
Pediatric Dentistry
Primary
DEN.00007703
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24653764
CO
Enumeration date
12/18/2009
Last updated
11/20/2018
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