Individual
OMAR AL BAYATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 COOK ST STE 201, DENVER, CO 80206-5316
(719) 368-9043
Mailing address
4822 XANTHIA ST APT 102, DENVER, CO 80238-3626
(602) 315-9589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203228
CO
1223P0300X
Periodontics
36105
TX
Other
Enumeration date
09/01/2017
Last updated
07/01/2020
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