Bordonaro, Dylan

Bordonaro, Dylan is an individual health care provider with primary practice located at 9645 Washington St Ste 100 , Thornton CO 80229-2174. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bordonaro, Dylan can be contacted via phone (303) 455-3313.

Contact Information

Primary practice address
9645 Washington St Ste 100 Thornton CO 80229-2174
Fax: (303) 455-3313
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS038772 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X DEN.00202840 Colorado

Profile Details

NPI number 1942626833
LBN Legal business name Bordonaro, Dylan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2014
Last updated Mar 17th, 2018 - about 7 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 1942626833 NPPES
Colorado Other DEN.00202840 DENTAL LICENSE

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