| Boulder Modern Dentistry | |
|
2100 28th St Ste 4f Boulder CO 80301-1106 | |
| (303) 442-4455 | |
| (303) 443-0972 |
| Full Name | Boulder Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 28th St Ste 4f, Boulder, Colorado |
| Authorized Official Name and Position | William J Mcglashan (CONTRACTS ADMIN) |
| Authorized Official Contact | 3034424455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Modern Dentistry 2860 Michelle Fl 2 Irvine CA 92606-1008 Ph: (714) 368-2077 | Boulder Modern Dentistry 2100 28th St Ste 4f Boulder CO 80301-1106 Ph: (303) 442-4455 |
| NPI Number | 1104130293 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104130293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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