NPI 1639323496

Clinica Dental Latina

Organisation Preferred Provider Organization Aurora, CO

Practice location

Address: 11175 E Mississippi Ave Suite 100, Aurora, CO 80012-3137
Phone: (303) 364-9831
Fax: (303) 364-7985

Authorised official

Name: Giacomo Gamibini
Title: Owner
Phone: (303) 364-9831

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 8424 (CO)

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Registry record

NPI: 1639323496
Entity type: Organization
NPI issued: 6 Nov 2008
Record last updated: 30 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.