Organization
AMIR R FEREYDOUNI DMD PROFESSIONAL CORPORATION
Active
Other names
Kids & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN SHAFFER (OFFICE MANAGER)
(303) 738-8828
Entity
Organization
Contact information
Practice address
8199 SOUTHPARK LN, SUITE #150, LITTLETON, CO 80120-5667
(303) 738-8828
Mailing address
8199 SOUTHPARK LN, SUITE #150, LITTLETON, CO 80120-5667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8495
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90323840
—
CO
Enumeration date
01/05/2007
Last updated
06/27/2008
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