Individual
DR. POUYAN SHAHROKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 W 6TH AVE, MC0242, DENVER, CO 80204-5182
(303) 602-8241
Mailing address
9608 E JEFFERSON PL, APT. 302, AURORA, CO 80014-4081
(856) 383-7527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202306
CO
Other
Enumeration date
05/31/2013
Last updated
03/25/2015
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