Provider Demographics
NPI:1093310724
Name:MARIA FRANCISCO-MATIAS PC
Entity Type:Organization
Organization Name:MARIA FRANCISCO-MATIAS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL HYGIENIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO- MATIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-206-9031
Mailing Address - Street 1:1229 S VERBENA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-3089
Mailing Address - Country:US
Mailing Address - Phone:720-206-9031
Mailing Address - Fax:
Practice Address - Street 1:9197 GRANT ST STE 200
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4337
Practice Address - Country:US
Practice Address - Phone:720-206-9031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIA FRANCISCO-MATIAS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty