Individual
MS. ALEXIS MARIE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
13606 XAVIER LANE SUITE B, BROOMFIELD, CO 80023
(303) 466-7306
(303) 466-7389
Mailing address
13606 XAVIER LANE SUITE B, BROOMFIELD, CO 80023
(303) 466-7306
(303) 466-7389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204454
CO
Other
Enumeration date
09/04/2020
Last updated
06/12/2022
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