Boulder Modern Dentistry, LLP

NPI #1104130293 in Boulder, Colorado

Provider Information

NPI Number
1104130293
Entity Type
Organization
Organization Name
Boulder Modern Dentistry, LLP
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 30, 2010
Last Updated
Jul 30, 2010

Practice Location

Address
2100 28TH ST STE 4F
ZIP Code
80301-1106
Phone
(303) 442-4455

Authorized Official

Name
DR. WILLIAM J MCGLASHAN, DDS
Title
CONTRACTS ADMIN
Phone
(303) 442-4455

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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