| Boulder Orthodontics | |
|
704 1st St Firestone CO 80520-5006 | |
| (303) 833-0310 | |
| Not Available |
| Full Name | Boulder Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 704 1st St, Firestone, Colorado |
| Authorized Official Name and Position | Jamon Verl Jensen (OWNER) |
| Authorized Official Contact | 3038330310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Orthodontics 2710 Pearl St Boulder CO 80302-3814 Ph: (303) 449-3250 | Boulder Orthodontics 704 1st St Firestone CO 80520-5006 Ph: (303) 833-0310 |
| NPI Number | 1063084481 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063084481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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