Individual
DR. MICHAEL JOHN MIERZEJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10350 FEDERAL BLVD, SUITE 300, FEDERAL HEIGHTS, CO 80260-8615
(303) 427-2722
(303) 427-9280
Mailing address
10350 FEDERAL BLVD, SUITE 300, FEDERAL HEIGHTS, CO 80260-8615
(303) 427-2722
(303) 427-9280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10703
CO
122300000X
Dentist
5133
NV
1223G0001X
General Practice Dentistry
5133
NV
Other
Enumeration date
02/15/2007
Last updated
01/08/2014
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