Individual
DR. NICOLE ELIZABETH EBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
55 MADISON ST, #280, DENVER, CO 80206-5419
(303) 320-0307
Mailing address
55 MADISON ST, #280, DENVER, CO 80206-5419
(303) 320-0307
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1215
AK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9787
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D12342
MN
Other
Enumeration date
05/07/2007
Last updated
05/17/2012
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