Provider Demographics
NPI:1760662068
Name:HAMILTON, WARIN CHARNOND
Entity type:Individual
Prefix:DR
First Name:WARIN
Middle Name:CHARNOND
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WARIN
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:2000 E 12TH AVE UNIT 19
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2823
Mailing Address - Country:US
Mailing Address - Phone:720-480-8123
Mailing Address - Fax:
Practice Address - Street 1:2000 E 12TH AVE UNIT 19
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2823
Practice Address - Country:US
Practice Address - Phone:720-480-8123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8390122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist