Provider Demographics
NPI:1073586426
Name:TOPELSON, IAN MAURICIO (DMD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:MAURICIO
Last Name:TOPELSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 LARIMER ST
Mailing Address - Street 2:SUITE#205
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1438
Mailing Address - Country:US
Mailing Address - Phone:303-296-8525
Mailing Address - Fax:303-296-0216
Practice Address - Street 1:1860 LARIMER ST
Practice Address - Street 2:SUITE#205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1438
Practice Address - Country:US
Practice Address - Phone:303-296-8525
Practice Address - Fax:303-296-0216
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO76391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice