| Richard S Fronczak Dds Pc | |
|
2300 Canyon Blvd Boulder CO 80302-5619 | |
| (303) 447-0393 | |
| (303) 440-0198 |
| Full Name | Richard S Fronczak Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2300 Canyon Blvd, Boulder, Colorado |
| Authorized Official Name and Position | Richard Stanley Fronczak (ORTHODONTIST) |
| Authorized Official Contact | 3034470393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Fronczak Dds Pc 2300 Canyon Blvd Boulder CO 80302-5619 Ph: (303) 447-0393 | Richard S Fronczak Dds Pc 2300 Canyon Blvd Boulder CO 80302-5619 Ph: (303) 447-0393 |
| NPI Number | 1700050887 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700050887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3565 (Colorado) | Primary |
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