Individual
ANTHONY E MUSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7760 W 38TH AVE STE 102, WHEAT RIDGE, CO 80033-6147
(303) 421-4010
(303) 423-9051
Mailing address
7760 W 38TH AVE STE 102, WHEAT RIDGE, CO 80033-6147
(303) 421-4010
(303) 423-9051
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104923
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049237
—
CO
Enumeration date
03/14/2007
Last updated
07/08/2007
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