Provider Demographics
NPI:1669647236
Name:ALOHA FAMILY AND COSMETIC DENTISTRY
Entity Type:Organization
Organization Name:ALOHA FAMILY AND COSMETIC DENTISTRY
Other - Org Name:ALOHA DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ISAACS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-770-1106
Mailing Address - Street 1:2030 E COUNTY LINE RD
Mailing Address - Street 2:UNIT K
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2431
Mailing Address - Country:US
Mailing Address - Phone:303-770-1106
Mailing Address - Fax:303-770-0078
Practice Address - Street 1:2030 E COUNTY LINE RD
Practice Address - Street 2:UNIT K
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-2431
Practice Address - Country:US
Practice Address - Phone:303-770-1106
Practice Address - Fax:303-770-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8856122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty