Individual
ELLEN WALTER VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20269 E SMOKY HILL RD, UNIT H, CENTENNIAL, CO 80015-3111
(303) 617-5730
(303) 617-5729
Mailing address
20269 E SMOKY HILL RD, UNIT H, CENTENNIAL, CO 80015-3111
(303) 617-5730
(303) 617-5729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
202429
CO
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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