Individual
EVAN CETTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 S WADSWORTH BLVD, SUITE 105, LAKEWOOD, CO 80232-5473
(303) 733-7533
Mailing address
901 COLORADO BLVD APT 521, DENVER, CO 80206-4089
(832) 470-6344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202110
CO
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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