Provider Demographics
NPI:1548079890
Name:DHARIWAL, GARIMA
Entity type:Individual
Prefix:
First Name:GARIMA
Middle Name:
Last Name:DHARIWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 N URSULA ST UNIT NO105
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7407
Mailing Address - Country:US
Mailing Address - Phone:720-206-8156
Mailing Address - Fax:
Practice Address - Street 1:2100 N URSULA ST UNIT NO105
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7407
Practice Address - Country:US
Practice Address - Phone:720-206-8156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00206191122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist