| Folsom Family Dental | |
|
2880 Folsom St Ste 202 Boulder CO 80304-3769 | |
| (303) 945-2399 | |
| (303) 945-2571 |
| Full Name | Folsom Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2880 Folsom St Ste 202, Boulder, Colorado |
| Authorized Official Name and Position | David P Stangl (OWNER) |
| Authorized Official Contact | 3039452399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Folsom Family Dental 2880 Folsom St Ste 202 Boulder CO 80304-3769 Ph: (303) 945-2399 | Folsom Family Dental 2880 Folsom St Ste 202 Boulder CO 80304-3769 Ph: (303) 945-2399 |
| NPI Number | 1952718553 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952718553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CO9984 (Colorado) | Primary |
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