Individual
DR. DAFNE ITATI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD MS
Contact information
Practice address
255 UNION BLVD STE 430, LAKEWOOD, CO 80228-1834
(303) 988-2780
(303) 988-2783
Mailing address
255 UNION BLVD STE 430, LAKEWOOD, CO 80228-1834
(303) 988-2780
(352) 273-9671
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN18641
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00201834
CO
Other
Enumeration date
08/11/2010
Last updated
05/19/2022
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