Individual
DR. JASON EHTESSABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3740 DACORO LN, SUITE 140, CASTLE ROCK, CO 80109-2503
(303) 688-6630
(303) 663-6534
Mailing address
3740 DACORO LN, SUITE 140, CASTLE ROCK, CO 80109-2503
(303) 688-6630
(303) 663-6534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9520
CO
Other
Enumeration date
08/22/2007
Last updated
08/31/2016
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