Individual
DR. CHAITANYA PRAKASH PURANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MS, MDS, PHD.
Contact information
Practice address
13123 E 16TH AVE STOP B240, AURORA, CO 80045
(720) 777-2719
(720) 777-7354
Mailing address
13123 E 16TH AVE # B240, AURORA, CO 80045-7106
(720) 777-6788
(720) 777-7354
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401416088
VA
1223P0221X
Pediatric Dentistry
33860
TX
1223P0221X
Pediatric Dentistry
Primary
AD.0000519
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000165418
—
CO
Enumeration date
06/18/2014
Last updated
11/19/2018
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