| NPI | 1467967307 |
|---|---|
| Doing Business As | BOULDER ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TERRENCE ROBERT NEDBALSKI Owner 303-447-9735 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CO 9410) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-03-17 |