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Organization
JOSEPH J. WIDDISON, DMD, PC
Active
Organization
JOSEPH J. WIDDISON, DMD, PC
Active
Other names
LakeView Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LEA SMITH (REGIONAL DIRECTOR)
(720) 371-2309
Entity
Organization
Contact information
Practice address
2502 ABARR DR, LOVELAND, CO 80538-3156
(970) 669-1444
Mailing address
2502 ABARR DR, LOVELAND, CO 80538-3156
(970) 669-1444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9379
CO
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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