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1710370176
MIKE CARPENTER, DDS
BOULDER, CO
NPI
1710370176
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Entity Type
Organization
Authorized Contact
DONNA LUEHRS
Billing Specialist
303-443-1703
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 9586)
Enumeration Date
2015-03-10
Last Update Date
2015-03-10
Business Address
MIKE CARPENTER, DDS
3093 BROADWAY ST
BOULDER, CO 80304-3151
Phone number: 303-443-1703
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Mailing Address
MIKE CARPENTER, DDS
3093 BROADWAY ST
BOULDER, CO 80304-3151
Phone number: 303-443-1703
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