Individual
DR. MICAELA RODAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1631 PACE ST STE B3, LONGMONT, CO 80504-3055
(303) 684-6524
Mailing address
2320 GAY ST, LONGMONT, CO 80501-1003
(570) 730-2566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205117
CO
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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