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Organization

ARVADA DENTAL AND ORTHODONTICS, PLLC

Active
Other names
RODEO DENTAL AND ORTHODONTICS
Organization subpart
No

Provider details

NPI number
Authorized official
YAHYA MANSOUR DDS (OWNER)
(817) 529-8151
Entity
Organization

Contact information

Practice address
6350 SHERIDAN BLVD STE 102, ARVADA, CO 80003-6646
(817) 529-8151
(817) 928-1681
Mailing address
100 E 15TH ST STE 200, FORT WORTH, TX 76102-6567
(817) 529-8151
(817) 928-1681

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/19/2021
Last updated
11/19/2021
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