Individual
DR. PAUL STAVRAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3303 W 144TH AVE UNIT 100, BROOMFIELD, CO 80023-9464
(720) 308-9798
(720) 536-5136
Mailing address
3255 W 135TH AVE, BROOMFIELD, CO 80020-5120
(240) 291-1675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00203219
CO
1223G0001X
General Practice Dentistry
00203219
CO
Other
Enumeration date
06/26/2016
Last updated
07/09/2024
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