Organization · Type 2 NPI
Main Street Dental, PC
Dental Clinic/Center · Aurora, CO
NPI number
1962884841
Active
Practice location
6240 S Main St Ste 295
Aurora, CO 80016-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 104888 (CO) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1962884841
Main Street Dental, PC's National Provider Identifier is 1962884841, issued on Jun 26, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Aurora, CO. The record was last updated on Jun 26, 2015.