Organization
JILL K. MIODUSKI, DDS, MS, PROFESSIONAL LLC
Active
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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