Organization
BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Broomfield Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARZIEH SHAFIE DMD (OWNER DOCTOR)
(714) 368-2077
Entity
Organization
Contact information
Practice address
4490 W 121ST AVE STE 7, BROOMFIELD, CO 80020-5665
(714) 368-2077
(303) 362-5615
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
02/07/2022
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