Individual
DR. BRIAN FANGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1440 BLAKE ST STE 100, DENVER, CO 80202-1475
(614) 354-7468
Mailing address
1440 BLAKE ST STE 100, DENVER, CO 80202-1475
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
202239
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30023643
OH
Other
Enumeration date
10/08/2008
Last updated
02/08/2022
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