DR. Lyndon Mata, D.D.S.

NPI #1912117391 in Broomfield, Colorado

Provider Information

NPI Number
1912117391
Entity Type
Individual
Name
DR. Lyndon Mata, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6363 W 120TH AVE
Address 2
SUITE 230
ZIP Code
80020-0300
Phone
(303) 635-0100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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