Organization
PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J VERSMAN D.D.S. (PARTNER)
(303) 755-4500
Entity
Organization
Contact information
Practice address
2900 S PEORIA ST, BUILDING D, AURORA, CO 80014-3182
(303) 755-4500
(303) 755-4047
Mailing address
2900 S PEORIA ST, BUILDING D, AURORA, CO 80014-3182
(303) 755-4500
(303) 755-4047
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
CO
Other
Enumeration date
03/02/2006
Last updated
08/22/2020
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