Tequila Sunrise Boulder Pllc
NPI #1518561042 in Boulder, Colorado
Provider Information
- NPI Number
- 1518561042
- Entity Type
- Organization
- Organization Name
- Tequila Sunrise Boulder Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 25, 2020
- Last Updated
- Nov 25, 2020
Practice Location
Authorized Official
- Name
- DR. KAUSHAL KUMAR DHAWAN, DDS
- Title
- MEMBER
- Phone
- (417) 379-7923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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