Provider Demographics
NPI:1356490213
Name:DONALDSON, TANDI V (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:TANDI
Middle Name:V
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
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Mailing Address - Street 1:7578 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6209
Mailing Address - Country:US
Mailing Address - Phone:303-427-9779
Mailing Address - Fax:303-427-9796
Practice Address - Street 1:7578 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-6209
Practice Address - Country:US
Practice Address - Phone:303-427-9779
Practice Address - Fax:303-427-9796
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO92711223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry