| NPI | 1891423208 |
|---|---|
| Doing Business As | BOULDER SMILES |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA BALICH General Dentist 720-546-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-09-07 |