Individual
KAMINI MASILAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 CASTLE PEAK AVE, SUPERIOR, CO 80027-6100
(669) 246-1188
Mailing address
3425 CASTLE PEAK AVE, SUPERIOR, CO 80027-6100
(669) 246-1188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204978
CO
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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