Individual
DR. AMIR DEHGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2101 N URSULA ST UNIT 401, AURORA, CO 80045-7423
(310) 710-6527
Mailing address
2101 N URSULA ST UNIT 401, AURORA, CO 80045-7423
(310) 710-6527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00201888
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61094
CA
Other
Enumeration date
11/22/2012
Last updated
05/13/2015
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