Individual
DR. BRIAN NAZERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 E MAIN ST, TRINIDAD, CO 81082-2710
(719) 846-0870
Mailing address
514 E 9TH ST, TRINIDAD, CO 81082-3426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9941
CO
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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