# QUIRAM FAMILY DENTAL PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073998100
- **Authorized official:** PAUL QUIRAM DDS (OWNER)
- **Authorized official phone:** (507) 259-1279

## Contact information

- **Practice address:** 2721 W 120TH AVE STE A200, WESTMINSTER, CO 80234-3289
- **Practice address phone:** (303) 460-9000
- **Mailing address:** 2721 W 120TH AVE STE A200, WESTMINSTER, CO 80234-3289
- **Mailing address phone:** (303) 460-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 07/30/2015