Individual
DR. ANIS SHAKIR MANSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4590 LOWELL BLVD, DENVER, CO 80211-1364
(303) 455-8962
Mailing address
4590 LOWELL BLVD, DENVER, CO 80211-1364
(303) 455-8962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD4785
NM
122300000X
Dentist
Primary
DEN.00204142
CO
Other
Enumeration date
08/28/2017
Last updated
06/24/2020
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