Organization
TEQUILA SUNRISE BROOMFIELD PLLC
Active
Other names
Dental and implant centers of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAUSHAL DHAWAN DDS (DENTIST)
(417) 379-7923
Entity
Organization
Contact information
Practice address
5015 W 120TH AVE, BROOMFIELD, CO 80020-5606
(303) 466-2935
Mailing address
5015 W 120TH AVE, BROOMFIELD, CO 80020-5606
(303) 466-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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