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NPI 1144742628

OrganizationActive

5th Ave Smile LLC

NPI 1144742628 · Dental Hygienist · Aurora, CO

Provider details

NPI number: 1144742628
Entity type: Organization
Primary specialty: Dental HygienistDental Providers
Authorized official: Justice Osei Tutu, Dental Hygienist
License: DH.002024345 (CO)

Practice location

2044 Clinton St Unit B

Aurora, CO 80010-1003

Phone: (303) 360-7462

Fax: (303) 360-7475

More CO providers

Mailing address

2044 Clinton St Unit B

Aurora, CO 80010-1003

Registry dates

Enumerated: 2017-07-17
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

5th Ave Smile LLC — NPI 1144742628, Aurora, CO | NPI Central