Individual
DR. PRATHIP SIVAPRAKASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
191 TELLURIDE ST UNIT 1, BRIGHTON, CO 80601-4356
(303) 228-0340
(303) 228-1275
Mailing address
2857 IRONTON ST, DENVER, CO 80238-3214
(916) 342-2574
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN-00010504
CO
Other
Enumeration date
07/19/2007
Last updated
03/04/2025
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