Individual
DR. MICHAEL ROBERT DURYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13131 W ALAMEDA PKWY, LAKEWOOD, CO 80228-3108
(303) 987-0500
Mailing address
13131 W ALAMEDA PKWY, LAKEWOOD, CO 80228-3108
(303) 987-0500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5477
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5546
CO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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