Individual
ETHAN WIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10835 DOVER ST STE 1200, WESTMINSTER, CO 80021-5562
(303) 425-6565
Mailing address
2210 E MISSISSIPPI AVE UNIT 1, DENVER, CO 80210-1922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204704
CO
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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