Bouldent, LLC

NPI #1316469711 in Boulder, Colorado

Provider Information

NPI Number
1316469711
Entity Type
Organization
Organization Name
Bouldent, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 7, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
4550 BROADWAY ST UNIT C-3E
ZIP Code
80304-4801
Phone
(720) 504-8745

Authorized Official

Name
DR. DAVID JONATHAN YEATS, DMD
Title
GENERAL DENTISTRY
Phone
(303) 444-2129

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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