Organization
MOHAMMAD TAREQ KHADRA DDS, PLLC
Active
Other names
Glenn Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD TAREQ KHADRA (DENTIST)
(401) 225-2455
Entity
Organization
Contact information
Practice address
2675 S ABILENE ST STE 135, AURORA, CO 80014-2363
(303) 751-6916
Mailing address
2675 S ABILENE ST STE 135, AURORA, CO 80014-2363
(303) 751-6916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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