Dr. Marisa Elizabeth Patt, DMD
Dentist, Prosthodontics in Boulder, CO. Individual provider (NPI-1).
NPI number1124331004
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1124331004
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marisa Elizabeth Patt
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2010
- Certification date
- Jun 27, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 00203089 | CO | Yes |
Practice location
7490 Clubhouse Rd Ste 101Boulder, CO 80301-3720
Phone 303-530-1212
Mailing address
595 Madison AveSte 1208
New York, NY 10022-1907
Phone 212-371-3311
Other practice locations
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Other Prosthodontics providers in Boulder, CO
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- Gordon N Gates, D.D.S.NPI 1922140219
- Gordon N Gates DDS, Msd, PCNPI 1568694305
- Andrew R Johann, D.D.S., M.S.NPI 1780800581
- Luciano Retana, DDS MSNPI 1922606870
All 6 Prosthodontics providers in Boulder · All 7,147 providers in Boulder
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