Individual
MARK JEREL RINGDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 5TH ST., PO#69, FREDERICK, CO 80530
(303) 833-3230
Mailing address
320 5TH STREET, PO #69, FREDERICK, CO 80530
(303) 833-3230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105639
CO
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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