Tequila Sunrise Broomfield Pllc
NPI #1124793476 in Broomfield, Colorado
Provider Information
- NPI Number
- 1124793476
- Entity Type
- Organization
- Organization Name
- Tequila Sunrise Broomfield Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 10, 2021
- Last Updated
- Aug 10, 2021
Practice Location
- Address
- 5015 W 120TH AVE
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-5606
- Phone
- (303) 466-2935
Authorized Official
- Name
- DR. KAUSHAL DHAWAN, DDS
- Title
- DENTIST
- Phone
- (417) 379-7923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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