Individual
ELENA OGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
219 W COLORADO AVE STE 206, COLORADO SPRINGS, CO 80903-3338
(719) 447-1199
Mailing address
6665 GLADE PARK DR, COLORADO SPRINGS, CO 80918-4722
(916) 677-9097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02401300
NJ
122300000X
Dentist
Primary
DEN.00205889
CO
122300000X
Dentist
DS039391
PA
1223G0001X
General Practice Dentistry
DDS100984
CA
Other
Enumeration date
03/11/2009
Last updated
02/13/2025
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