Individual
ANTONIO SILVA OSEGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 S WADSWORTH BLVD, SUITE 101, LAKEWOOD, CO 80232-5473
(303) 934-4285
(720) 458-3916
Mailing address
5601 E CALEY AVE, CENTENNIAL, CO 80111-4202
(303) 934-4285
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24115
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6085
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9911
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41920783
—
CO
Enumeration date
03/17/2010
Last updated
03/24/2014
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