Individual
DR. RICHARD GLENN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
537 W HIGHLANDS RANCH PKWY, SUITE 105, HIGHLANDS RANCH, CO 80129-6954
(303) 791-4411
(303) 791-9652
Mailing address
537 W HIGHLANDS RANCH PKWY, SUITE 105, HIGHLANDS RANCH, CO 80129-6954
(303) 791-4411
(303) 791-9652
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100916
CO
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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