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Individual

CAROLYN WATT MAUTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2800 E 136TH AVE, THORNTON, CO 80241
(720) 872-2892
(720) 872-2894
Mailing address
2800 E. 136TH AVE, THORNTON, CO 80241
(720) 872-2892
(720) 872-2894

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9003
CO

Other

Enumeration date
10/25/2006
Last updated
05/03/2016
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