Provider Demographics
NPI:1467446187
Name:CLAUDE A PAREJA DDS PC
Entity Type:Organization
Organization Name:CLAUDE A PAREJA DDS PC
Other - Org Name:WESTMINSTER DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAREJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-429-7072
Mailing Address - Street 1:4070 W 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-5210
Mailing Address - Country:US
Mailing Address - Phone:303-429-7072
Mailing Address - Fax:303-650-0746
Practice Address - Street 1:4070 W 72ND AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-5210
Practice Address - Country:US
Practice Address - Phone:303-429-7072
Practice Address - Fax:303-650-0746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty