DR. Theodore Eugene Mioduski JR., D.D.S.

NPI #1013955046 in Loveland, Colorado

Provider Information

NPI Number: 1013955046
Entity Type: Individual
Name: DR. Theodore Eugene Mioduski JR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 3, 2006
Last Updated: Jan 4, 2008

Practice Location

Address: 2975 GINNALA DR STE 100
City: Loveland
State: Colorado
ZIP Code: 80538-3300
Phone: (970) 663-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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