Individual
MARY B MEDIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 DENTAL SQUADRON/SGDD, 1055 E. STEWART BLDG 2018, PETERSON AFB, CO 80925
(719) 566-1333
Mailing address
21 DENTAL SQUADRON/SGDD, 1055 E. STEWART BLDG 2018, PETERSON AFB, CO 80925
(719) 566-1333
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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