# RIDGEVIEW PEDIATRIC DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417260787
- **Authorized official:** CARA LYNN MUDD DDS, MSD (OWNER/DENTIST)
- **Authorized official phone:** (303) 650-0310

## Contact information

- **Practice address:** 14697 DELAWARE ST, BLDG. B, SUITE \#210, WESTMINSTER, CO 80023-9178
- **Practice address phone:** (303) 650-0310
- **Practice address fax:** (303) 650-0311
- **Mailing address:** 14697 DELAWARE ST, BLDG. B, SUITE \#210, WESTMINSTER, CO 80023-9178
- **Mailing address phone:** (303) 650-0310
- **Mailing address fax:** (303) 650-0311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 8289 | CO | Yes |

## Other

- **Enumeration date:** 07/15/2010
- **Last updated:** 07/15/2010