| Judith Timchula Dds, Pc | |
|
7490 Clubhouse Rd Suite 101 Boulder CO 80301-3720 | |
| (303) 530-1212 | |
| (303) 530-1702 |
| Full Name | Judith Timchula Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7490 Clubhouse Rd, Boulder, Colorado |
| Authorized Official Name and Position | Judith A Timchula (OWNER) |
| Authorized Official Contact | 3035301212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Timchula Dds, Pc 7490 Clubhouse Rd Suite 101 Boulder CO 80301-3720 Ph: (303) 530-1212 | Judith Timchula Dds, Pc 7490 Clubhouse Rd Suite 101 Boulder CO 80301-3720 Ph: (303) 530-1212 |
| NPI Number | 1396131306 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396131306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5160 (Colorado) | Primary |
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