Individual
KAYVAN FATHIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10535 PARK MEADOWS BLVD STE 250, LONE TREE, CO 80124-8401
(303) 381-7101
Mailing address
10535 PARK MEADOWS BLVD STE 250, LONE TREE, CO 80124-8401
(303) 381-7101
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
056659
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00204716
CO
Other
Enumeration date
01/26/2011
Last updated
11/15/2023
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