Mike Carpenter, DDS

NPI #1710370176 in Boulder, Colorado

Provider Information

NPI Number: 1710370176
Entity Type: Organization
Organization Name: Mike Carpenter, DDS
Primary Specialty: Dentist
Enumeration Date: Mar 10, 2015
Last Updated: Mar 10, 2015

Practice Location

Address: 3093 BROADWAY ST
City: Boulder
State: Colorado
ZIP Code: 80304-3151
Phone: (303) 443-1703

Authorized Official

Name: DONNA LUEHRS
Title: BILLING SPECIALIST
Phone: (303) 443-1703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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