| Bouldent, Llc | |
|
4550 Broadway St Unit C-3e Boulder CO 80304-4801 | |
| (720) 504-8745 | |
| Not Available |
| Full Name | Bouldent, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4550 Broadway St Unit C-3e, Boulder, Colorado |
| Authorized Official Name and Position | David Jonathan Yeats (GENERAL DENTISTRY) |
| Authorized Official Contact | 3034442129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bouldent, Llc 4550 Broadway St Unit C-3e Boulder CO 80304-4801 Ph: (720) 504-8745 | Bouldent, Llc 4550 Broadway St Unit C-3e Boulder CO 80304-4801 Ph: (720) 504-8745 |
| NPI Number | 1316469711 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316469711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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