Theodore Eugene Mioduski JR. D.D.S.

NPI 1013955046 - Dentist - 1223G0001X

NPI Details
NPI 1013955046
Gender Male
Enumeration Date 06/03/2006
Last Updated 01/04/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2975 GINNALA DR STE 100
LOVELAND CO, 80538-3300, US
Phone (970) 663-1000
Fax (970) 663-0615
Business Location
2975 GINNALA DR STE 100
LOVELAND CO, 80538-3300, US
Phone (970) 663-1000
Fax (970) 663-0615
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number CO105715
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According to our database, Dr. Theodore Eugene Mioduski JR. D.D.S. NPI is 1013955046, taxonomy code is 1223G0001X and license number is CO105715, license state is located at Colorado. Theodore Eugene Mioduski JR. D.D.S. physically located at 2975 Ginnala Dr Ste 100, Loveland CO, 80538-3300. NPI Number Theodore Eugene Mioduski JR. D.D.S. has the Individual type.

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1013955046 NPI number is provided on an as is basis without warranty of any kind. 1013955046 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Eugene Mioduski JR. D.D.S. are for informational purposes only.