Individual
DR. BETHANY NOELLE PANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3464 N SALIDA ST STE A, AURORA, CO 80011
(303) 307-9999
(303) 307-9992
Mailing address
3464 N SALIDA ST STE A, AURORA, CO 80011
(303) 307-9999
(303) 307-9992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN00203279
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14037062
CAQH
CO
05
—
1811417298
—
CO
Enumeration date
06/26/2017
Last updated
09/29/2023
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