Organization
SHERIDAN DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVOOD MANSHADI DDS (DENTIST)
(720) 470-4291
Entity
Organization
Contact information
Practice address
5375 W 38TH AVE, WHEAT RIDGE, CO 80212-7058
(303) 476-6292
Mailing address
19266 E FAIR DR, AURORA, CO 80016-3851
(720) 470-4291
(303) 766-5599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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