Individual
NEHA DC JIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-6661
(719) 304-5400
Mailing address
1670 E CHEYENNE MOUNTAIN BLVD STE F #301, COLORADO SPRINGS, CO 80906
(719) 502-9070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205004
CO
Other
Enumeration date
03/03/2021
Last updated
06/02/2024
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