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Organization

ROXBOROUGH FAMILY DENTAL MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD LEE MATHESON DMD (OWNER)
(208) 351-1001
Entity
Organization

Contact information

Practice address
8361 N RAMPART RANGE RD, SUITE 200, ROXBOROUGH, CO 80125-9366
(208) 351-1001
Mailing address
8241 XENON CT, ARVADA, CO 80005-5294
(208) 351-1001

Taxonomy

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

Other

Enumeration date
05/09/2017
Last updated
05/09/2017
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