DR. Dominic S Italia, DDS
NPI #1184318776 in Broomfield, Colorado
Provider Information
- NPI Number
- 1184318776
- Entity Type
- Individual
- Name
- DR. Dominic S Italia, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 6, 2023
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 899 US HIGHWAY 287 STE 600
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-7319
- Phone
- (303) 460-9366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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