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Organization

D MALCOLM STRANGE DDS MSD PC

Active
Parent organization
D MALCOLM STRANGE DDS MSD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
D MALCOLM STRANGE DDS MSD PC
Authorized official
DR. D. MALCOLM STRANGE DDS, MSD (PRESIDENT)
(303) 467-8888
Entity
Organization

Contact information

Practice address
30960 STAGECOACH BLVD, SUITE W100, EVERGREEN, CO 80439-7902
(303) 670-7070
(303) 670-7071
Mailing address
30960 STAGECOACH BLVD, SUITE W100, EVERGREEN, CO 80439-7902
(303) 670-7070
(303) 670-7071

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0651
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04011383
CO
Enumeration date
04/09/2007
Last updated
04/26/2016
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