Individual
DR. BETH ANN DORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
340 JUSTIN AVE, SUITE 102, PLATTEVILLE, CO 80651-7818
(970) 785-6280
(970) 797-6403
Mailing address
340 JUSTIN AVE, SUITE 102, PLATTEVILLE, CO 80651-7818
(970) 353-2330
(970) 797-6403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10088
CO
122300000X
Dentist
DN012540
GA
1223G0001X
General Practice Dentistry
Primary
10088
CO
1223G0001X
General Practice Dentistry
DN012540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36876321
—
CO
Enumeration date
02/21/2007
Last updated
02/03/2015
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