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Individual

ARTYOM G GRIGORYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-5231
Mailing address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(719) 526-5231
(719) 526-4807

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002691-15
CO
122400000X
Denturist
1002691
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
WI

Other

Enumeration date
07/15/2021
Last updated
02/03/2026
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