Provider Demographics
NPI:1952631608
Name:HARVAN DENTAL ASSOCIATES PC
Entity Type:Organization
Organization Name:HARVAN DENTAL ASSOCIATES PC
Other - Org Name:HARVAN DENTAL ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KETURKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-955-0831
Mailing Address - Street 1:25521 E SMOKY HILL ROAD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016
Mailing Address - Country:US
Mailing Address - Phone:720-457-9300
Mailing Address - Fax:720-457-9301
Practice Address - Street 1:25521 EAST SMOKY HILL RD
Practice Address - Street 2:SUITE 140
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016
Practice Address - Country:US
Practice Address - Phone:720-457-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty