Organization
JILL K. MIODUSKI, DDS, MS, PROFESSIONAL LLC
Active
Other names
Northern Colorado Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JILL K MIODUSKI DDS, MS (OWNER/ORTHODONTIST)
(970) 674-0717
Entity
Organization
Contact information
Practice address
1295 MAIN ST, #4, WINDSOR, CO 80550-5966
(970) 674-0717
Mailing address
1295 MAIN ST, #4, WINDSOR, CO 80550-5966
(970) 674-0717
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10178
CO
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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