Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 8986 | CO |
NPI | 1023026382 |
---|---|
Provider Name | Dr. Erin Alissa Sloss |
First Address | Denver, CO 80224-3027 |
Second Address | Denver, CO 80224-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |