Individual
ELLIOT EZRA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10371 PARKGLENN WAY STE 250, PARKER, CO 80138-3871
(303) 840-1900
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206709
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/04/2026
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