Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DEN.00202503 | CO |
NPI | 1073854964 |
---|---|
Provider Name | Dr. Aaron Aziz Yashar |
First Address | Littleton, CO 80127-3134 |
Second Address | Highlands Ranch, CO 80129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2013 |
Last Update Date | 12/05/2015 |