Individual
DR. JULIE ELIZABETH HABERSTROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12101 E 2ND AVE, SUITE 206, AURORA, CO 80011
(303) 343-2161
Mailing address
6025 E 1ST AVE, DENVER, CO 80220
(303) 399-3755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02051910
—
CO
01
—
68685
BLUE CROSS BLUE SHIELD
CO
Enumeration date
07/31/2006
Last updated
07/08/2007
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