Organization
5280 DENTISTRY AND ANESTHESIA
Active
Organization
5280 DENTISTRY AND ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY XAVIER VAN HILSEN DDS, MS (OWNER)
(602) 391-8331
Entity
Organization
Contact information
Practice address
2422 GLENARM PL, DENVER, CO 80205-3129
(602) 391-8331
Mailing address
2422 GLENARM PL, DENVER, CO 80205-3129
(602) 391-8331
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DEN.202500
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13350056
—
CO
Enumeration date
12/06/2017
Last updated
12/06/2017
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