Organization
DR. NISS & DR. SHIFMAN, LLP
Active
Other names
ABC Family Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL NISS DDS (GENERAL DENTIST)
(303) 337-3300
Entity
Organization
Contact information
Practice address
1250 S SHERIDAN BLVD, DENVER, CO 80232-8022
(303) 337-3300
Mailing address
1250 S SHERIDAN BLVD, DENVER, CO 80232-8022
(303) 337-3300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00202968
CO
1223G0001X
General Practice Dentistry
Primary
DEN.00010381
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN.00010381
CO
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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