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1558438945
ANIL JOSEPH IDICULLA
AURORA, CO
NPI
1558438945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CO 9309)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Dr. ANIL JOSEPH IDICULLA D.M.D.
11275 E MISSISSIPPI AVE SUITE 2-N
AURORA, CO 80012-3263
Phone number: 303-341-4878
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Mailing Address
Dr. ANIL JOSEPH IDICULLA D.M.D.
4550 CHERRY CREEK SOUTH DR APARTMENT 2200
DENVER, CO 80246-1554
Phone number: 215-908-0008
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