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General NPI Number Information
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NPI Number | 1275150609
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Entity Type | Individual
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Provider Name | SOONDIS MANSUR HABIL DMD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 8441 W BOWLES AVE STE 220
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City | LITTLETON
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State | CO
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Zip | 80123-9501
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Country | US
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Telephone | 303-979-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 13038 E COLORADO AVE
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City | AURORA
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State | CO
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Zip | 80012-5322
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Country | US
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Telephone | 720-278-9790
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN.00204476
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License Number State | CO
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