| Dental Health Of Boulder, Pllc | |
|
2525 28th St Unit 140 Boulder CO 80301-1255 | |
| (303) 443-0070 | |
| (303) 443-0073 |
| Full Name | Dental Health Of Boulder, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 28th St Unit 140, Boulder, Colorado |
| Authorized Official Name and Position | Ande Wittenberg (MANAGER) |
| Authorized Official Contact | 3034430070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Of Boulder, Pllc 2525 28th St Unit 140 Boulder CO 80301-1255 Ph: (303) 443-0070 | Dental Health Of Boulder, Pllc 2525 28th St Unit 140 Boulder CO 80301-1255 Ph: (303) 443-0070 |
| NPI Number | 1013052653 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013052653 | NPI | - | NPPES |
| 841525799 | Other | CO | SPECIALTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 579 (Colorado) | Primary |
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