Organization
LAKEWOOD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAFNE ELLIS (ORTHODONTIST)
(303) 988-2780
Entity
Organization
Contact information
Practice address
255 UNION BLVD STE 430, LAKEWOOD, CO 80228-1834
(303) 988-2780
Mailing address
255 UNION BLVD STE 430, LAKEWOOD, CO 80228-1834
(303) 988-2780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
201834
CO
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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