Individual
NEVIN THOMAS SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10000 COMMONS ST, LONETREE, CO 80124-5501
(303) 790-8080
(390) 790-0679
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10566
CO
Other
Enumeration date
11/15/2011
Last updated
11/16/2011
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