Individual
MICHAEL ELEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7940 S UNIVERSITY BLVD, SUITE 200, CENTENNIAL, CO 80122-5104
(720) 482-0793
Mailing address
7940 S UNIVERSITY BLVD, SUITE 200, CENTENNIAL, CO 80122-5104
(720) 482-0793
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202867
CO
Other
Enumeration date
06/29/2016
Last updated
09/30/2016
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