| Elm Endodontics Pc | |
|
13605 Xavier Ln Ste E Broomfield CO 80023-3603 | |
| (303) 427-2769 | |
| Not Available |
| Full Name | Elm Endodontics Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 13605 Xavier Ln Ste E, Broomfield, Colorado |
| Authorized Official Name and Position | Peter Shelley (ENDODONTIST/PRESIDENT) |
| Authorized Official Contact | 3034272769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Endodontics Pc 13605 Xavier Ln Ste E Broomfield CO 80023-3603 Ph: (303) 427-2769 | Elm Endodontics Pc 13605 Xavier Ln Ste E Broomfield CO 80023-3603 Ph: (303) 427-2769 |
| NPI Number | 1306665385 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306665385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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