Organization · Type 2 NPI

Boulder Modern Dentistry, LLP

General Practice Dentistry · Boulder, CO

NPI number 1104130293 Active

Practice location

2100 28th St Ste 4F
Boulder, CO 80301-1106

Call (303) 442-4455 Map

Fax (303) 443-0972

Mailing address

2860 Michelle Fl 2
Irvine, CA 92606-1008

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104130293

Boulder Modern Dentistry, LLP's National Provider Identifier is 1104130293, issued on Jul 30, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boulder, CO. The record was last updated on Jul 30, 2010.