Organization
DENTAL AID, INC
Active
Parent organization
DENTAL AID, INC
Other names
Dental Aid, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL AID, INC
Authorized official
JUBIE TAFOYA-QUEZADA (SENIOR OFFICE ADMINISTRATOR)
(303) 655-8228
Entity
Organization
Contact information
Practice address
4155 DARLEY AVE STE C, BOULDER, CO 80305-6536
(303) 499-7072
(303) 200-7375
Mailing address
877 E SOUTH BOULDER RD, LOUISVILLE, CO 80027-1345
(303) 655-8228
(303) 200-7375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004172
—
CO
Enumeration date
12/07/2020
Last updated
12/07/2020
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