Matthew Charles Janda DDS

NPI 1104826759 - Dentist - 1223G0001X

NPI Details
NPI 1104826759
Gender Male
Enumeration Date 07/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
801 IRIS DR
STERLING CO, 80751-4740, US
Phone (970) 522-4050
Fax (970) 522-4067
Business Location
409 MELBA RD
STERLING CO, 80751-8609, US
Phone (970) 522-1888
Fax (970) 522-4067
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 4398
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According to our database, Dr. Matthew Charles Janda DDS NPI is 1104826759, taxonomy code is 1223G0001X and license number is 4398, license state is located at Colorado. Matthew Charles Janda DDS physically located at 801 Iris Dr, Sterling CO, 80751-4740. NPI Number Matthew Charles Janda DDS has the Individual type.

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1104826759 NPI number is provided on an as is basis without warranty of any kind. 1104826759 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Charles Janda DDS are for informational purposes only.