Provider Demographics
NPI:1942305842
Name:TWERSKOI, VLAD (DDS)
Entity Type:Individual
Prefix:
First Name:VLAD
Middle Name:
Last Name:TWERSKOI
Suffix:
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 1:1400 CHAMBERS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-5836
Mailing Address - Country:US
Mailing Address - Phone:303-364-7491
Mailing Address - Fax:303-367-5051
Practice Address - Street 1:1400 CHAMBERS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5836
Practice Address - Country:US
Practice Address - Phone:303-364-7491
Practice Address - Fax:303-367-5051
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO88081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice