De La Rosa, Laurice Michelle

De La Rosa, Laurice Michelle is an individual health care provider with primary practice located at 13065 East 17Th Ave , Aurora CO 80045. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. De La Rosa, Laurice Michelle can be contacted via phone (303) 724-6978.

Contact Information

Primary practice address
13065 East 17Th Ave Aurora CO 80045
Phone: (303) 724-6978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 904979 Colorado

Profile Details

NPI number 1346532736
LBN Legal business name De La Rosa, Laurice Michelle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Sep 26th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346532736 NPPES
Colorado MEDICAID 54054788

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