Individual
DR. ARACE NANA ASSADOGHLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4490 W 121ST AVE STE 7, BROOMFIELD, CO 80020-5603
(303) 469-2061
(303) 275-8011
Mailing address
32527 LITTLE CUB RD, EVERGREEN, CO 80439-6657
(904) 710-5632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN23786
FL
1223G0001X
General Practice Dentistry
Primary
DEN00204743
CO
Other
Enumeration date
08/29/2018
Last updated
10/03/2023
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