Individual
VIDYA PATUVILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7515 E PEAKVIEW AVE APT 324, CENTENNIAL, CO 80111-6735
(720) 998-8424
Mailing address
7515 E PEAKVIEW AVE APT 324, CENTENNIAL, CO 80111-6735
(720) 998-8424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-10659
CO
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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