Boulder Dental Center Table Mesa PC

NPI #1215894050 in Boulder, Colorado

Provider Information

NPI Number: 1215894050
Entity Type: Organization
Organization Name: Boulder Dental Center Table Mesa PC
Primary Specialty: Dentist
Enumeration Date: Jan 5, 2026
Last Updated: Jan 5, 2026

Practice Location

Address: 4790 TABLE MESA DR
City: Boulder
State: Colorado
ZIP Code: 80305-5600
Phone: (303) 442-5000

Authorized Official

Name: DR. DANNY ABBOUD, DDS
Title: PRESIDENT
Phone: (303) 442-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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