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Provider Information for 1790932879



JAROSLAW ADAM WROBEL D.D.S.

Gender: MALE

Individual NPI: 1790932879

Calendar Last Updated: 2012-02-15

Details

Name Value
NPI 1790932879
Enumeration Date 2008-08-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2801 E 120TH AVE #I 303
THORNTON, CO 80233-1499
United States

Phone: 949-878-6661 | Fax:
View Map External Link
Primary Practice Address 14422 ORCHARD PKWY SUITE 200
WESTMINSTER, CO 80023-9273
United States

Phone: 303-659-3003 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CO 10603
No 122300000X - Dentist CA 57599
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location