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Organization

JASON EHTESSABIAN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON EHTESSABIAN DDS (OWNER)
(719) 342-3806
Entity
Organization

Contact information

Practice address
3740 DACORO LN STE 140, CASTLE ROCK, CO 80109-2504
(720) 868-0888
Mailing address
3740 DACORO LN STE 140, CASTLE ROCK, CO 80109-2504
(720) 868-0888

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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