Organization
ROCKY MOUNTAIN DENTAL ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER MENDOZA DDS (OWNER)
(559) 367-2336
Entity
Organization
Contact information
Practice address
811 BRICKYARD CIR, GOLDEN, CO 80403-8058
(559) 367-2336
Mailing address
811 BRICKYARD CIR, GOLDEN, CO 80403-8058
(559) 367-2336
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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