Healthcare Provider Details

I. General information

NPI: 1831382787
Provider Name (Legal Business Name): CYNTHIA PAULINA TRAJTENBERG DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA PAULINA TRAJTENBERG DDS, MS

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13065 E 17TH AVE
AURORA CO
80045-2532
US

IV. Provider business mailing address

13065 E 17TH AVE
AURORA CO
80045-2532
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-6970
  • Fax: 303-724-6986
Mailing address:
  • Phone: 303-724-6970
  • Fax: 303-724-6986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberAD0000526
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberF-22008
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: