Healthcare Provider Details

I. General information

NPI: 1477859924
Provider Name (Legal Business Name): CRISTIANA OLTEAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9123 E MISSISSIPPI AVE APT 17-204
DENVER CO
80247-2095
US

IV. Provider business mailing address

9123 E MISSISSIPPI AVE APT 17-204
DENVER CO
80247-2095
US

V. Phone/Fax

Practice location:
  • Phone: 720-281-7967
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number#10372
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: