Individual provider · Type 1 NPI

Anila Mary Poravanthattil, DDS

Pediatric Dentistry · Aurora, CO

NPI number 1982275749 Active

Practice location

22986 E Smoky Hill Rd # 80016
Aurora, CO 80016-1382

Mailing address

7575 E 29th Pl Apt 1119
Denver, CO 80238-4035

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X00204760 (CO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1982275749

Anila Mary Poravanthattil, DDS's National Provider Identifier is 1982275749, issued on Jul 2, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Aurora, CO. The record was last updated on Jul 2, 2021.