Individual
LAYA BAHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8960 WESTMINSTER BLVD, WESTMINSTER, CO 80031-2870
(307) 509-5790
Mailing address
1406 DEERFIELD CT, LONGMONT, CO 80504-8738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204769
CO
1223G0001X
General Practice Dentistry
DEN.00204769
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
11/16/2023
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