Individual
KAZIWA OMER IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16486 E RADCLIFF PL APT B, AURORA, CO 80015-7144
(719) 761-5397
Mailing address
16486 E RADCLIFF PL APT B, AURORA, CO 80015-7144
(719) 761-5397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203657
CO
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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