Provider Demographics
NPI:1649313313
Name:COLORADO, CLAUDIA P (DDS)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:P
Last Name:COLORADO
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 1:6452 E CARONDELET DR STE 150
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2213
Mailing Address - Country:US
Mailing Address - Phone:520-296-3000
Mailing Address - Fax:928-782-2212
Practice Address - Street 1:6452 E CARONDELET DR STE 150
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2213
Practice Address - Country:US
Practice Address - Phone:520-296-3000
Practice Address - Fax:928-782-2212
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ71711223G0001X
AZ7171D1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice