Individual
ROXANA GHADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 E COLFAX AVE # 101, DENVER, CO 80206-1810
(303) 399-3001
Mailing address
3705 E COLFAX AVE # 101, DENVER, CO 80206-1810
(303) 399-3001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205638
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2023
Last updated
06/14/2023
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