Colorado Dhca, Boulder, Pllc

NPI 1013052653 - Dentist - 1223G0001X

NPI Details
NPI 1013052653
Enumeration Date 02/21/2007
Last Updated 07/09/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDE ANDE
Position MANAGER
Phone (303) 443-0070
Fax (303) 443-0073
Practice Location
2525 28TH ST UNIT 140
BOULDER CO, 80301-1255, US
Phone (303) 443-0070
Fax (303) 443-0073
Business Location
2525 28TH ST UNIT 140
BOULDER CO, 80301-1255, US
Phone (303) 443-0070
Fax (303) 443-0073
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 579
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According to our database, Colorado Dhca, Boulder, Pllc NPI is 1013052653, taxonomy code is 1223G0001X and license number is 579, license state is located at Colorado. Colorado Dhca, Boulder, Pllc physically located at 2525 28th St Unit 140, Boulder CO, 80301-1255. NPI Number 1033115704 has the healthcare provider type.

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1013052653 NPI number is provided on an as is basis without warranty of any kind. 1013052653 is maintained by the National Plan & Provider Enumeration System. The contents of Colorado Dhca, Boulder, Pllc are for informational purposes only.