Healthcare Provider Details

I. General information

NPI: 1225225071
Provider Name (Legal Business Name): MARGARITA MONICA LACHICA DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 08/14/2022
Certification Date: 08/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15159 E COLFAX AVE UNIT B
AURORA CO
80011-5707
US

IV. Provider business mailing address

1610 54TH AVE N STE 205
NASHVILLE TN
37209-1442
US

V. Phone/Fax

Practice location:
  • Phone: 303-341-5437
  • Fax:
Mailing address:
  • Phone: 615-678-0757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number081990270
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDEN.00204557
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: