Individual
MARIN THEA ROSENVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6632 W 10TH ST STE 101, GREELEY, CO 80634-9734
(970) 353-4848
Mailing address
6053 SALVIA LN, ARVADA, CO 80403-2648
(701) 367-9333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00201799
CO
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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