Individual
JANNA LEE MITSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2200 E 104TH AVE STE 112, THORNTON, CO 80233-4402
(303) 462-4838
Mailing address
2200 E 104TH AVE STE 112, THORNTON, CO 80233-4402
(303) 452-4142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031242
IL
1223D0001X
Public Health Dentistry
Primary
00204244
CO
Other
Enumeration date
08/08/2017
Last updated
03/12/2024
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