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THOMAS DEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1202 BERGEN PKWY, #207, EVERGREEN, CO 80439-9588
(303) 674-6152
Mailing address
1202 BERGEN PKWY, #207, EVERGREEN, CO 80439-9588

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104592
CO

Other

Enumeration date
09/27/2013
Last updated
09/27/2013
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