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DEL MAR KID'S DENTAL CARE

Managed Care Organizations Exclusive Provider Organization

Provider NPI: 1376928945

Organization Information:
Organization Name:  DEL MAR KID'S DENTAL CARE
Organization is not Subpart
Authorized Official:  HUONG  NGUYEN  DENTIST  303-523-7808

Practice Location:
797 PEORIA ST STE A  AURORA, CO 80011-8215 US
Tel: 303-577-0062  Fax: --

Business Mailing Address:
797 PEORIA ST STE A  AURORA, CO 80011-8215 US
Tel: 303-577-0062  Fax: --

NPI Information:
NPI: 1376928945
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N302F00000XManaged Care Organizations
Exclusive Provider Organization
CODEN.00202598
Y1223G0001XDental Providers
Dentist
CODEN

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1223G0001X

Type:

Classification:



Definition:



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