John R Dodge DMD,MS

NPI 1629190194 - Dentist - 1223P0300X

NPI Details
NPI 1629190194
Gender Male
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1440 28TH ST
SUITE 1
BOULDER CO, 80303-1030, US
Phone (303) 447-0460
Fax (303) 447-9578
Business Location
1440 28TH ST
SUITE 1
BOULDER CO, 80303-1030, US
Phone (303) 447-0460
Fax (303) 447-9578
Toxanomy
Taxonomy Code 1223P0300X
License State Colorado
License Number CO7489
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According to our database, Dr. John R Dodge DMD,MS NPI is 1629190194, taxonomy code is 1223P0300X and license number is CO7489, license state is located at Colorado. John R Dodge DMD,MS physically located at 1440 28th St, Boulder CO, 80303-1030. NPI Number John R Dodge DMD,MS has the Individual type.

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1629190194 NPI number is provided on an as is basis without warranty of any kind. 1629190194 is maintained by the National Plan & Provider Enumeration System. The contents of John R Dodge DMD,MS are for informational purposes only.