Abs Dentistry PLLC
Dentist, General Practice in Denver, CO. Organization (NPI-2).
NPI number1710450192
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1710450192
- Entity type
- Organization (NPI-2)
- Legal business name
- Abs Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2019
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- Clermont Dental (Doing Business As)
- Clermont Family Dentistry (Doing Business As)
Practice location
2101 S Clermont StDenver, CO 80222-5006
Phone 303-691-3333 · Fax 720-666-6036
Mailing address
2101 S Clermont StDenver, CO 80222-5006
Phone 303-691-3333 · Fax 720-666-6036
Authorized official
Atousa B Safavi
Dentist/Owner
9194284525
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