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Organization
DAVID P MICKLIN PC
Active
Organization
DAVID P MICKLIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIS P MICKLIN (OWNER)
(303) 399-1650
Entity
Organization
Contact information
Practice address
400 S COLORADO BLVD, SUITE 440, GLENDALE, CO 80246-1253
(303) 399-1650
(303) 399-7310
Mailing address
400 S COLORADO BLVD, SUITE 440, GLENDALE, CO 80246-1253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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