| Integrity Dental Of Boulder, Ltd | |
|
777 29th St Ste. #300 Boulder CO 80303-2358 | |
| (303) 442-6141 | |
| (303) 545-5669 |
| Full Name | Integrity Dental Of Boulder, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 777 29th St, Boulder, Colorado |
| Authorized Official Name and Position | Corbett W Summers (PRESIDENT) |
| Authorized Official Contact | 3034426141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Dental Of Boulder, Ltd 305 Irwin Pl Erie CO 80516-6554 Ph: (303) 442-6141 | Integrity Dental Of Boulder, Ltd 777 29th St Ste. #300 Boulder CO 80303-2358 Ph: (303) 442-6141 |
| NPI Number | 1790141539 |
|---|---|
| Provider Enumeration Date | 01/09/2016 |
| Last Update Date | 01/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790141539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5129 (Colorado) | Primary |
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