Organization
ROYAL FALCONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEEN MOEZZI DDS (PRESIDENT)
(702) 682-6789
Entity
Organization
Contact information
Practice address
5600 W 44TH AVE, DENVER, CO 80212-7339
(702) 682-6789
Mailing address
5600 W 44TH AVE, DENVER, CO 80212-7339
(702) 682-6789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202224
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609157171
—
CO
Enumeration date
12/10/2017
Last updated
12/10/2017
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