Individual
DR. MADELYN LOUISE STUMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3445 SALIDA ST STE 30, AURORA, CO 80011-5000
(303) 366-3383
Mailing address
111 W BEAVER CREEK BLVD UNIT 6145, AVON, CO 81620-5158
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00204221
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2017
Last updated
07/01/2020
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