MY LOCAL COLORADO DENTAL PRACTICE, LLC

BOULDER, CO
NPI1982258653
Entity TypeOrganization
Authorized ContactMICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2019-07-30
Last Update Date2019-07-30
Business Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
1844 PEARL ST
BOULDER, CO 80302-5533
Phone number: 720-465-4382
Mailing Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
1844 PEARL ST
BOULDER, CO 80302-5533
Phone number: 720-465-4382
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