Individual
GANEEV MATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7470 W 52ND AVE, ARVADA, CO 80002-3710
(303) 475-0037
Mailing address
7470 W 52ND AVE, ARVADA, CO 80002-3710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205675
CO
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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