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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 00204760 (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.