Individual
DR. PATRA P WATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8200 E BELLEVIEW AVE #420E, GREENWOOD VILLAGE, CO 80111
(303) 740-7088
(303) 740-0091
Mailing address
8200 E BELLEVIEW AVE #420E, GREENWOOD VILLAGE, CO 80111
(303) 740-7088
(303) 740-0091
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
C06614
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02066140
—
CO
Enumeration date
10/24/2006
Last updated
04/19/2014
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