Individual
AZIZ RASULOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 E THORNTON PKWY, #240-A, THORNTON, CO 80229-2100
(303) 280-8878
Mailing address
14025 E EXPOSITION AVE, SUITE 810, AURORA, CO 80012-2522
(303) 340-0422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-8771
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1777418
UNITED CONCORDIA
CO
05
—
43475361
—
CO
Enumeration date
11/01/2006
Last updated
10/10/2016
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