Individual
DR. JUSTIN LEE BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3574 S TOWER RD, STE B, AURORA, CO 80013-3561
(303) 617-9100
(303) 617-9198
Mailing address
3574 S TOWER RD, STE B, AURORA, CO 80013-3561
(303) 617-9100
(303) 617-9198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10422
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364295
—
WI
Enumeration date
05/21/2010
Last updated
01/24/2017
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