| Boulder Endodontics Pc | |
|
3100 Arapahoe Ave Suite 300 Boulder CO 80303-1093 | |
| (303) 449-6621 | |
| (303) 413-9341 |
| Full Name | Boulder Endodontics Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3100 Arapahoe Ave, Boulder, Colorado |
| Authorized Official Name and Position | George Bruce Douglas (ENDODONTIST) |
| Authorized Official Contact | 3034496621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Endodontics Pc 3100 Arapahoe Ave Suite 300 Boulder CO 80303-1093 Ph: (303) 449-6621 | Boulder Endodontics Pc 3100 Arapahoe Ave Suite 300 Boulder CO 80303-1093 Ph: (303) 449-6621 |
| NPI Number | 1740310788 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740310788 | NPI | - | NPPES |
| 1033117239 | Other | CO | G. BRUCE DOUGLAS, D.D.S. |
| 1740310788 | Other | CO | BOULDER ENDODONTICS, PC |
| 1487652582 | Other | CO | JOSEPH R. PARSONS, D.D.S. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Colorado) | Primary |
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