Individual
DR. DOROTHY ELLEN DISTELHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
51 EAGLE RD # A1, AVON, CO 81620-5991
(970) 479-0408
(970) 479-7903
Mailing address
PO BOX 5680, AVON, CO 81620-5680
(970) 479-0408
(970) 479-7903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6533
CO
Other
Enumeration date
08/16/2006
Last updated
10/27/2023
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