Individual
DR. ANDREI BASKAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16981 E QUINCY AVE # D1-D3, AURORA, CO 80015-2769
(303) 617-8400
Mailing address
16981 E QUINCY AVE # D1-D3, AURORA, CO 80015-2769
(303) 617-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203848
CO
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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