Organization
M. DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDI L. LYDEN (PERSONAL REPRESENTATIVE)
(303) 333-7733
Entity
Organization
Contact information
Practice address
745 S. GARTRELL RD., UNIT A9, AURORA, CO 80016-2439
(303) 840-9447
Mailing address
1777 S HARRISON ST, STE. 1250, DENVER, CO 80210-3925
(303) 333-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7162
CO
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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