Organization
JULIE E HABERSTROH DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE E HABERSTROH DDS (OWNER)
(303) 343-2161
Entity
Organization
Contact information
Practice address
12101 E 2ND AVE STE 206, AURORA, CO 80011-8328
(303) 343-2161
Mailing address
12101 E 2ND AVE STE 206, AURORA, CO 80011-8328
(303) 343-2161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02051910
—
CO
Enumeration date
04/27/2016
Last updated
04/27/2016
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