Individual
AHMADREZA KHADEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4972 E 62ND AVE, COMMERCE CITY, CO 80022-3253
(303) 288-4969
Mailing address
4972 E 62ND AVE, COMMERCE CITY, CO 80022-3253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00206256
CO
Other
Enumeration date
02/19/2024
Last updated
04/27/2025
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