IndividualActive
Ailar Bagherdaei
NPI 1689112187 · Prosthodontics · Englewood, CO
Provider details
- NPI number
- 1689112187
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DS039513 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
5120 S Broadway Ste B
Englewood, CO 80113-9304
Phone: (303) 794-0044
Approximate (ZIP-level) locationGet directions
Mailing address
9339 Genesee Ave Ste 150
San Diego, CA 92121-2144
Registry dates
- Enumerated
- 2017-02-03
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.