Organization
INTEGRATED DENTAL ARTS PLLC
Active
Other names
Integrated Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MATHESON DMD (OWNER)
(208) 351-1001
Entity
Organization
Contact information
Practice address
7251 W 20TH ST BLDG H, GREELEY, CO 80634-4625
(970) 281-5972
Mailing address
7251 W 20TH ST BLDG H, GREELEY, CO 80634-4625
(970) 281-5972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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