Individual
DR. LYNDON MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6363 W 120TH AVE, SUITE 230, BROOMFIELD, CO 80020-0300
(303) 635-0100
(303) 635-0300
Mailing address
6363 W 120TH AVE, SUITE 230, BROOMFIELD, CO 80020-0300
(303) 635-0100
(303) 635-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7333
CO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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