Colorado Dhca, Boulder, Pllc

NPI #1013052653 in Boulder, Colorado

Provider Information

NPI Number
1013052653
Entity Type
Organization
Organization Name
Colorado Dhca, Boulder, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 21, 2007
Last Updated
Jul 9, 2008

Practice Location

Address
2525 28TH ST UNIT 140
ZIP Code
80301-1255
Phone
(303) 443-0070

Authorized Official

Name
ANDE WITTENBERG
Title
MANAGER
Phone
(303) 443-0070

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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