Individual
DR. ROXOLANA MAGED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14255 W COLFAX AVE STE E, LAKEWOOD, CO 80401-3264
(303) 218-2392
Mailing address
201 E MISSISSIPPI AVE APT 481, DENVER, CO 80209-4390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00203271
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043716988
DENTIST
CO
Enumeration date
03/31/2018
Last updated
05/01/2023
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