Whalio Doctors

NPI 1043325319

Brett Wallen, DMD

Practitioner Pediatric Anesthesiology Physician Aurora, CO

Practice location

Address
13123 E 16th Ave, Aurora, CO 80045-7106
Phone
(720) 777-6788
Mailing address
13123 E 16th Ave # B240, Aurora, CO 80045-7106

Registered specialties (3)

Pediatric Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP3000X Licence DEN.00008879 (CO)
Pediatric Dentistry
Dental Providers Taxonomy 1223P0221X Licence 8879 (CO)
Dental Anesthesiology
Dental Providers Taxonomy 1223D0004X Licence DEN.00008879 (CO)

Registry record

NPI
1043325319
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Aug 2006
Record last updated
30 Nov 2018

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.