Basic Information
| Provider Information | |||||||||
| NPI: | 1225225071 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LACHICA | ||||||||
| FirstName: | MARGARITA | ||||||||
| MiddleName: | MONICA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DDS, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1610 54TH AVE N STE 205 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372091442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156780757 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 15159 E COLFAX AVE UNIT B | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800115707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033415437 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2007 | ||||||||
| LastUpdateDate: | 08/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223X0400X | 081990270 | CA | N | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN.00204557 | CO | Y | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics |
No ID Information.