| Boulder Dental Designs | |
|
4770 Baseline Rd Suite 310 Boulder CO 80303-2666 | |
| (303) 443-1895 | |
| (303) 442-2765 |
| Full Name | Boulder Dental Designs |
|---|---|
| Speciality | Dentist |
| Location | 4770 Baseline Rd, Boulder, Colorado |
| Authorized Official Name and Position | John Montoya (DENTIST/OWNER) |
| Authorized Official Contact | 3034431895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Dental Designs 4770 Baseline Rd Suite 310 Boulder CO 80303-2666 Ph: (303) 443-1895 | Boulder Dental Designs 4770 Baseline Rd Suite 310 Boulder CO 80303-2666 Ph: (303) 443-1895 |
| NPI Number | 1396109435 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396109435 | NPI | - | NPPES |
| 1942458328 | Other | CO | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9350 (Colorado) | Primary |
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