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Individual

DR. ANDREW G ABDELNOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4490 W 121ST AVE, BROOMFIELD, CO 80020-5602
(303) 469-2061
(503) 471-1404
Mailing address
4490 W 121ST AVE, BROOMFIELD, CO 80020-5602
(303) 469-2061

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10579
CO
1223G0001X
General Practice Dentistry
D7969
OR

Other

Enumeration date
09/17/2008
Last updated
04/18/2012
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