Theodore E. Mioduski III, D.D.S.

NPI #1174726269 in Loveland, Colorado

Provider Information

NPI Number
1174726269
Entity Type
Individual
Name
Theodore E. Mioduski III, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 7, 2007
Last Updated
Jul 16, 2008

Practice Location

Address
2975 GINNALA DR
Address 2
SUITE #100
ZIP Code
80538-3300
Phone
(970) 663-1000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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