Provider Demographics
NPI:1366615817
Name:FRANCISCO-MATIAS, MARIA (RDH)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:FRANCISCO-MATIAS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 S VERBENA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-3089
Mailing Address - Country:US
Mailing Address - Phone:720-206-9031
Mailing Address - Fax:
Practice Address - Street 1:9197 GRANT ST STE 200
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4337
Practice Address - Country:US
Practice Address - Phone:720-206-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO904246124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist