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
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-0300
- Phone
- (303) 635-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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