| Boulder Dental Center, P.c | |
|
1610 Canyon Blvd Boulder CO 80302-5407 | |
| (303) 442-5000 | |
| (303) 442-4396 |
| Full Name | Boulder Dental Center, P.c |
|---|---|
| Speciality | Dentist |
| Location | 1610 Canyon Blvd, Boulder, Colorado |
| Authorized Official Name and Position | Danny Abboud (PRESIDENT) |
| Authorized Official Contact | 3034425000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Dental Center, P.c 1610 Canyon Blvd Boulder CO 80302-5407 Ph: (303) 442-5000 | Boulder Dental Center, P.c 1610 Canyon Blvd Boulder CO 80302-5407 Ph: (303) 442-5000 |
| NPI Number | 1134447857 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134447857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9598 (Colorado) | Primary |
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