Individual
SALLY ABOUASSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11005 S PARKER RD, PARKER, CO 80134-7441
(303) 805-3588
(303) 805-0743
Mailing address
11005 S PARKER RD, PARKER, CO 80134-7441
(303) 805-3588
(303) 805-0743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10377
CO
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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