Juan Materon

NPI #1093303117 in Aurora, Colorado

Provider Information

NPI Number
1093303117
Entity Type
Organization
Organization Name
Juan Materon
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 5, 2021
Last Updated
Jan 5, 2021

Practice Location

Address
11275 E MISSISSIPPI AVE STE 1E3
City
Aurora
ZIP Code
80012-2818
Phone
(720) 440-2233

Authorized Official

Name
MS. MARY LOU A POSADA
Title
CREDENTIALING SPECIALIST
Phone
(720) 276-3046

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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