Individual
CARA L MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
14697 DELAWARE STREET, BLDG. B, SUITE #210, WESTMINSTER, CO 80023
(303) 650-0310
(303) 650-0311
Mailing address
14697 DELAWARE STREET, BLDG. B, SUITE #210, WESTMINSTER, CO 80023
(303) 650-0310
(303) 650-0311
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8289
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046693
—
WA
01
—
5812MU
REGENCE BLUESHIELD INS
WA
Enumeration date
06/22/2006
Last updated
03/07/2023
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