| Jill K. Mioduski, Dds, Ms, Professional Llc | |
|
1295 Main St #4 Windsor CO 80550-5966 | |
| (970) 674-0717 | |
| Not Available |
| Full Name | Jill K. Mioduski, Dds, Ms, Professional Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1295 Main St, Windsor, Colorado |
| Authorized Official Name and Position | Jill K Mioduski (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 9706740717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill K. Mioduski, Dds, Ms, Professional Llc 1295 Main St #4 Windsor CO 80550-5966 Ph: (970) 674-0717 | Jill K. Mioduski, Dds, Ms, Professional Llc 1295 Main St #4 Windsor CO 80550-5966 Ph: (970) 674-0717 |
| NPI Number | 1598040578 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598040578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10178 (Colorado) | Primary |
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