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1467582577
KENTARO IKEDA
AURORA, CO
NPI
1467582577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO AD.0000515)
Additional Taxonomies
122300000X Dentist
(Licence: NC 150533)
Enumeration Date
2007-03-07
Last Update Date
2017-02-23
Business Address
-- KENTARO IKEDA DDS
13065 E 17TH AVE
AURORA, CO 80045-2532
Phone number: 303-724-5505
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Mailing Address
-- KENTARO IKEDA DDS
13065 E 17TH AVE MAIL STOP F844
AURORA, CO 80045-2532
Phone number: 303-724-9584
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