Individual
DR. DAVOOD MANSHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15159 EAST COLFAX AVE., #B, AURORA, CO 80011
(303) 341-5437
(303) 341-5447
Mailing address
16107 E NASSAU DR, AURORA, CO 80013-2725
(720) 840-8106
(303) 341-5447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8151
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14557886
—
CO
01
—
1750783
UNITED CONCORDIA ID #
—
Enumeration date
06/22/2006
Last updated
07/09/2007
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