Individual
DR. BRIAN A SIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10000 COMMONS ST, LONE TREE, CO 80124-5501
(303) 790-8080
Mailing address
10000 COMMONS ST, LONE TREE, CO 80124-5501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203596
CO
1223G0001X
General Practice Dentistry
DN19541
FL
Other
Enumeration date
09/08/2011
Last updated
11/22/2021
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