Mioduski, Theodore E.

Mioduski, Theodore E. is an individual health care provider with primary practice located at 2975 Ginnala Dr Suite #100, Loveland CO 80538-3300. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mioduski, Theodore E. can be contacted via phone (970) 663-1000.

Contact Information

Primary practice address
2975 Ginnala Dr Suite #100 Loveland CO 80538-3300
Fax: (970) 663-0615
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9587 Colorado

Profile Details

NPI number 1174726269
LBN Legal business name Mioduski, Theodore E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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