Individual
ADITYA MARWAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3485 W 10TH ST STE C, GREELEY, CO 80634-5368
(970) 353-4746
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61512
KS
122300000X
Dentist
Primary
DEN.00204646
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN.00204646
CO DENTAL LICENSE
CO
Enumeration date
01/25/2019
Last updated
06/17/2022
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