| Tequila Sunrise Broomfield Pllc | |
|
5015 W 120th Ave Broomfield CO 80020-5606 | |
| (303) 466-2935 | |
| Not Available |
| Full Name | Tequila Sunrise Broomfield Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5015 W 120th Ave, Broomfield, Colorado |
| Authorized Official Name and Position | Kaushal Dhawan (DENTIST) |
| Authorized Official Contact | 4173797923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tequila Sunrise Broomfield Pllc 5015 W 120th Ave Broomfield CO 80020-5606 Ph: (303) 466-2935 | Tequila Sunrise Broomfield Pllc 5015 W 120th Ave Broomfield CO 80020-5606 Ph: (303) 466-2935 |
| NPI Number | 1124793476 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124793476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
News Archive
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› Verified 6 days ago
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