Organization
LI'L TEETH DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA V ROACHO (OFFICE MANAGER)
(303) 307-9999
Entity
Organization
Contact information
Practice address
3471 N SALIDA CT UNIT 40, AURORA, CO 80011-5020
(303) 307-9999
(303) 307-9992
Mailing address
3471 N SALIDA CT UNIT 40, AURORA, CO 80011-5020
(303) 307-9999
(303) 307-9992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9721
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285897751
INDIVIDUAL NPI
CO
Enumeration date
05/10/2010
Last updated
01/27/2011
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