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Individual

DR. ELIZABETH ANNE SHICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS MPH

Contact information

Practice address
600 12TH ST, STE 100, GOLDEN, CO 80401-1179
(303) 216-1108
Mailing address
600 12TH ST, STE 100, GOLDEN, CO 80401-1179
(303) 216-1108

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7487
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902XY
NC
01
902XY
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/09/2006
Last updated
06/17/2016
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