Organization
ANDRE D. NAZAROV DMD.,MS.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE D NAZAROV DMD.,MS.,PC (OWNER)
(303) 989-5607
Entity
Organization
Contact information
Practice address
7125 W JEFFERSON AVE, 380, LAKEWOOD, CO 80235-2333
(303) 989-5607
Mailing address
7125 W JEFFERSON AVE, 380, LAKEWOOD, CO 80235-2333
(303) 989-5607
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8530
CO
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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