Organization
BLUE MESA DENTAL ASSOC PC
Active
Other names
Blue Mesa Dental of Aurora
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA BERENICE GRIJALUA (OFFICE MANAGER)
(303) 337-0789
Entity
Organization
Contact information
Practice address
1700 S CHAMBERS RD, AURORA, CO 80017-5023
(303) 337-0789
(303) 671-2601
Mailing address
1700 S CHAMBERS RD, AURORA, CO 80017-5023
(303) 337-0789
(303) 671-2601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6619
CO
122300000X
Dentist
8934
CO
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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