Provider Demographics
NPI:1992865216
Name:PAVEL, MARGARETA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARGARETA
Middle Name:
Last Name:PAVEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARGARETA
Other - Middle Name:
Other - Last Name:PAVEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8370 W COAL MINE AVE
Mailing Address - Street 2:#103
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-4401
Mailing Address - Country:US
Mailing Address - Phone:303-978-1522
Mailing Address - Fax:303-904-0520
Practice Address - Street 1:8370 W COAL MINE AVE
Practice Address - Street 2:#103
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4401
Practice Address - Country:US
Practice Address - Phone:303-978-1522
Practice Address - Fax:303-904-0520
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7692122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist