Individual
DR. MICHAEL PATRICK MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 526-5537
Mailing address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 526-5537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9887
MD
122300000X
Dentist
DS028015L
PA
1223G0001X
General Practice Dentistry
Primary
DEN.00202425
CO
1223G0001X
General Practice Dentistry
DS028015L
PA
Other
Enumeration date
05/08/2006
Last updated
02/13/2023
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