| James Gerweck Dmd Llc | |
|
1150 Maxwell Ave Boulder CO 80304-4185 | |
| (720) 328-1375 | |
| (720) 389-9691 |
| Full Name | James Gerweck Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1150 Maxwell Ave, Boulder, Colorado |
| Authorized Official Name and Position | James Gerweck (SOLE MEMBER) |
| Authorized Official Contact | 7203281375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Gerweck Dmd Llc 1150 Maxwell Ave Boulder CO 80304-4185 Ph: (720) 328-1375 | James Gerweck Dmd Llc 1150 Maxwell Ave Boulder CO 80304-4185 Ph: (720) 328-1375 |
| NPI Number | 1962745489 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962745489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN00010035 (Colorado) | Primary |
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