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Individual

BRANDY MALIA DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
26 W DRY CREEK CIR STE 430, LITTLETON, CO 80120-4475
(720) 438-9017
Mailing address
7022 S LAMAR ST, LITTLETON, CO 80128-3914
(720) 438-9017

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10494
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/05/2011
Last updated
07/26/2022
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