Organization
PEAK ORTHODONTICS PLLC
Active
Organization
PEAK ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL IDICULLA (ORTHODONTIST)
(303) 466-1955
Entity
Organization
Contact information
Practice address
10359 FEDERAL BLVD STE 200, WESTMINSTER, CO 80260-7453
(303) 466-1955
Mailing address
10359 FEDERAL BLVD STE 200, WESTMINSTER, CO 80260-7453
(303) 466-1955
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
09/02/2026
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