Individual
DR. CINDY SUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
80 GARDEN CENTER SUITE 24, BROOMFIELD, CO 80020
(303) 635-2640
(303) 635-2641
Mailing address
80 GARDEN CENTER SUITE 24, BROOMFIELD, CO 80020
(303) 635-2640
(303) 635-2641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105430
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105430
STATE DENTAL US
CA
Enumeration date
03/08/2006
Last updated
09/03/2014
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