Organization
RIDGEVIEW PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA LYNN MUDD DDS, MSD (OWNER/DENTIST)
(303) 650-0310
Entity
Organization
Contact information
Practice address
14697 DELAWARE ST, BLDG. B, SUITE #210, WESTMINSTER, CO 80023-9178
(303) 650-0310
(303) 650-0311
Mailing address
14697 DELAWARE ST, BLDG. B, SUITE #210, WESTMINSTER, CO 80023-9178
(303) 650-0310
(303) 650-0311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8289
CO
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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