Provider Demographics
NPI:1740384270
Name:PARISH, DURAL L JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DURAL
Middle Name:L
Last Name:PARISH
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10835 DOVER ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-5562
Mailing Address - Country:US
Mailing Address - Phone:303-425-6565
Mailing Address - Fax:303-420-5660
Practice Address - Street 1:10835 DOVER ST STE 1200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5562
Practice Address - Country:US
Practice Address - Phone:303-425-6565
Practice Address - Fax:303-420-5660
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice