Individual
DR. JILL KRISTINE MIODUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1299 MAIN ST UNIT C, WINDSOR, CO 80550-5947
(970) 674-0717
Mailing address
1299 MAIN ST UNIT C, WINDSOR, CO 80550-5947
(970) 674-0717
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10178
CO
Other
Enumeration date
08/20/2010
Last updated
11/05/2021
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