Organization
OASIS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA AUSTIN DMD, MSD (ORTHODONTIST/OWNER)
(303) 940-5659
Entity
Organization
Contact information
Practice address
10050 W 41ST AVE, #102, WHEAT RIDGE, CO 80033-4157
(303) 940-5659
Mailing address
10050 W 41ST AVE, #102, WHEAT RIDGE, CO 80033-4157
(303) 940-5659
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CO
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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