Laycock Dentistry P.c. | |
4150 Darley Ave Suite 7 Boulder CO 80305-6557 | |
(303) 494-1550 | |
Not Available |
Full Name | Laycock Dentistry P.c. |
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Speciality | Dentist |
Location | 4150 Darley Ave, Boulder, Colorado |
Authorized Official Name and Position | Stephen W Laycock (OWNER) |
Authorized Official Contact | 3034941550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laycock Dentistry P.c. 4150 Darley Ave Suite 7 Boulder CO 80305-6557 Ph: (303) 494-1550 | Laycock Dentistry P.c. 4150 Darley Ave Suite 7 Boulder CO 80305-6557 Ph: (303) 494-1550 |
NPI Number | 1184902132 |
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Provider Enumeration Date | 07/25/2011 |
Last Update Date | 07/25/2011 |
Identifier | Type | State | Issuer |
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1184902132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7068 (Texas) | Primary |
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