Individual
MARISA MARTIN-WEGRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(303) 399-8020
Mailing address
27132 MAIN ST UNIT 200, CONIFER, CO 80433-8523
(303) 816-9411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206567
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
04/28/2026
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