Individual
AILAR BAGHERDAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 S BROADWAY STE B, ENGLEWOOD, CO 80113-9304
(303) 794-0044
Mailing address
9339 GENESEE AVE STE 150, SAN DIEGO, CA 92121-2144
(619) 837-2710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039513
PA
1223P0700X
Prosthodontics
Primary
DEN.00203254
CO
1223P0700X
Prosthodontics
NA
CA
Other
Enumeration date
02/03/2017
Last updated
01/28/2026
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