Individual
DR. CATHERINE MARY FLAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
13065 E. 17TH AVE, ROOM 130J, MAIL STOP F844, DENVER, CO 80203
(303) 724-6983
(303) 724-6986
Mailing address
13065 E. 17TH AVE, ROOM 130J, MAIL STOP F844, DENVER, CO 80203-2664
(303) 724-6983
(303) 724-6986
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
17951
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
30-024363
OH
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DEN.00105371
CO
1223P0221X
Pediatric Dentistry
30-024363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119665
—
OH
05
—
111084301
—
TX
01
—
89773B
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/07/2006
Last updated
06/18/2019
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