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1013056159
MARK DOUGLAS MADISON
GRAND JUNCTION, CO
NPI
1013056159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 6786)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Dr. MARK DOUGLAS MADISON D.D.S.
2525 N 8TH ST SUITTE #109
GRAND JUNCTION, CO 81501-8845
Phone number: 970-256-9500
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Mailing Address
Dr. MARK DOUGLAS MADISON D.D.S.
2525 N 8TH ST SUITTE #109
GRAND JUNCTION, CO 81501-8845
Phone number: 970-256-9500
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