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Individual

TASOS A BELEGRATIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7000 E BELLEVIEW AVE STE 205, GREENWOOD VILLAGE, CO 80111-1622
(303) 773-0960
(303) 773-9109
Mailing address
7000 E BELLEVIEW AVE STE 205, GREENWOOD VILLAGE, CO 80111-1622
(303) 773-0960
(303) 773-9109

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9389
CO

Other

Enumeration date
09/18/2007
Last updated
04/01/2016
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