KENTARO IKEDA

AURORA, CO
NPI1467582577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  AD.0000515)
Additional Taxonomies122300000X Dentist
(Licence: NC  150533)
Enumeration Date2007-03-07
Last Update Date2017-02-23
Business Address
-- KENTARO IKEDA DDS
13065 E 17TH AVE
AURORA, CO 80045-2532
Phone number: 303-724-5505
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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