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Individual

DR. KAZHALL TALEBPOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10650 GARDEN DR STE UNIT106, AURORA, CO 80012-7018
(303) 366-5100
Mailing address
10650 GARDEN DR UNIT 106, AURORA, CO 80012-7019
(646) 749-8058

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00203284
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DEN.00203284
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
08/10/2017
Last updated
03/17/2018
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