Organization
DENTISTRY 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEMIRAMIDA CONDOIANIS DDS (DENTIST)
(720) 596-4760
Entity
Organization
Contact information
Practice address
5140 W DARTMOUTH AVE, DENVER, CO 80236-2007
(720) 596-4760
(720) 596-4943
Mailing address
5140 W DARTMOUTH AVE, DENVER, CO 80236-2007
(720) 596-4760
(720) 596-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00010276
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58206051
—
CO
Enumeration date
05/24/2016
Last updated
05/24/2016
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