Healthcare Provider Details

I. General information

NPI: 1912827783
Provider Name (Legal Business Name): IGNACIA PAZ PEREZ OTAROLA RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1666 ELMIRA ST
AURORA CO
80010-2122
US

IV. Provider business mailing address

1666 ELMIRA ST
AURORA CO
80010-2122
US

V. Phone/Fax

Practice location:
  • Phone: 720-460-0995
  • Fax: 877-434-7701
Mailing address:
  • Phone: 720-460-0995
  • Fax: 877-434-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH.002027226
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: