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Individual

DR. CODY GUY GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3800 YORK ST, DENVER, CO 80205-3540
(701) 550-9016
Mailing address
3800 YORK ST, DENVER, CO 80205-3540
(701) 550-9016

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
10737
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85505731
CO
Enumeration date
07/11/2012
Last updated
03/07/2013
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