DR. Jason James Atha, D.D.S.

NPI #1659380996 in Boulder, Colorado

Provider Information

NPI Number
1659380996
Entity Type
Individual
Name
DR. Jason James Atha, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
350 BROADWAY ST
Address 2
SUITE 10
ZIP Code
80305-3343
Phone
(303) 494-8200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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