# BRAASCH DENTISTRY 2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mile High Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124681903
- **Authorized official:** MARK BRAASCH DDS (OWNER)
- **Authorized official phone:** (303) 745-3182

## Contact information

- **Practice address:** 12200 E ILIFF AVE, BLDG C, STE 104, AURORA, CO 80014
- **Practice address phone:** (303) 745-3182
- **Practice address fax:** (303) 766-0817
- **Mailing address:** 12200 E ILIFF AVE, BLDG C, STE 104, AURORA, CO 80014
- **Mailing address phone:** (303) 745-3182
- **Mailing address fax:** (303) 766-0817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 04/17/2019