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BRYAN PATRICK VILLESCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1255 CIMARRON DR STE 101, LAFAYETTE, CO 80026-1282
(303) 665-8024
(303) 665-8024
Mailing address
1255 CIMARRON DR STE 101, LAFAYETTE, CO 80026-1282
(303) 665-8024

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00203229
CO

Other

Enumeration date
08/14/2017
Last updated
08/14/2017
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