Individual
DR. MARISA ELIZABETH PATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7490 CLUBHOUSE RD STE 101, BOULDER, CO 80301-3720
(303) 530-1212
Mailing address
595 MADISON AVE, STE 1208, NEW YORK, NY 10022-1907
(212) 371-3311
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
00203089
CO
Other
Enumeration date
07/20/2010
Last updated
07/06/2023
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