Organization
JOSEPH J. WIDDISON, DMD, PC
Active
Other names
LakeView Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LEA SMITH (REGIONAL DIRECTOR)
(720) 371-2309
Entity
Organization
Contact information
Practice address
2502 ABARR DR, LOVELAND, CO 80538-3156
(970) 669-1444
Mailing address
2502 ABARR DR, LOVELAND, CO 80538-3156
(970) 669-1444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9379
CO
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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