Provider Demographics
NPI:1467558957
Name:KALRA, GUNJAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GUNJAN
Middle Name:
Last Name:KALRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12510 E ILIFF AVE
Mailing Address - Street 2:SUITE #305
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-6376
Mailing Address - Country:US
Mailing Address - Phone:303-695-0102
Mailing Address - Fax:303-695-0714
Practice Address - Street 1:12510 E ILIFF AVE
Practice Address - Street 2:SUITE #305
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-6376
Practice Address - Country:US
Practice Address - Phone:303-695-0102
Practice Address - Fax:303-695-0714
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO84561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice