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General NPI Number Information
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NPI Number | 1487177044
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Entity Type | Organization
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Legal Business Name | DR.SARIRA MARTIN,D.D.S,PC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 66 SPRINGER DR STE 207
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2307
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Country | US
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Telephone | 303-471-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 66 SPRINGER DR STE 207
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2307
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Country | US
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Telephone | 303-471-5500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARIRA MARTIN
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Credential | DDS
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Telephone | 303-471-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | CO8568
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License Number State | CO
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