Individual
EMANOUELA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
13065 E 17TH AVE # 130-C, MAIL STOP F847, AURORA, CO 80045-2532
(303) 724-7880
Mailing address
13065 E 17TH AVE # 130-C, MAIL STOP F847, AURORA, CO 80045-2532
(303) 724-7880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855414
MA
1223E0200X
Endodontics
Primary
DL 10086
CO
1223E0200X
Endodontics
DN1855414
MA
Other
Enumeration date
09/02/2009
Last updated
11/23/2016
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