Organization
20 MILE ORTHDONTICS, LLP
Active
Organization
20 MILE ORTHDONTICS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GARDUNIO (OFFICE MANAGER)
(303) 841-2262
Entity
Organization
Contact information
Practice address
11355 S PARKER RD, SUITE 109, PARKER, CO 80134-7403
(303) 841-2262
(303) 840-9672
Mailing address
11355 S PARKER RD, SUITE 109, PARKER, CO 80134-7403
(303) 841-2262
(303) 840-9672
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8910
VA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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