Individual
DR. MATTHEW SQUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 S LOGAN ST STE 103, DENVER, CO 80209-1870
(303) 722-1117
Mailing address
300 S LOGAN ST STE 103, DENVER, CO 80209-1870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205309
CO
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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