Michael Charles Boren DDS

NPI 1407945744 - Dentist - 1223G0001X

NPI Details
NPI 1407945744
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3559 BALTIMORE AVE
PUEBLO CO, 81008-1521, US
Phone (719) 543-8109
Fax (719) 546-2877
Business Location
3559 BALTIMORE AVE
PUEBLO CO, 81008-1521, US
Phone (719) 543-8109
Fax (719) 546-2877
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 7499
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According to our database, Dr. Michael Charles Boren DDS NPI is 1407945744, taxonomy code is 1223G0001X and license number is 7499, license state is located at Colorado. Michael Charles Boren DDS physically located at 3559 Baltimore Ave, Pueblo CO, 81008-1521. NPI Number Michael Charles Boren DDS has the Individual type.

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1407945744 NPI number is provided on an as is basis without warranty of any kind. 1407945744 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Charles Boren DDS are for informational purposes only.