Organization
AURORA DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY J TOMLISON D.D.S. (OWNER)
(720) 217-5794
Entity
Organization
Contact information
Practice address
724 PEORIA ST, AURORA, CO 80011-8231
(303) 745-2052
(303) 745-2189
Mailing address
724 PEORIA ST, AURORA, CO 80011-8231
(303) 745-2052
(303) 745-2189
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
8412
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477665164
—
CO
Enumeration date
08/01/2013
Last updated
12/01/2021
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