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Boulder Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in Boulder, Colorado
NPI 1467967307

Boulder Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Boulder, CO and is specialized in Oral and Maxillofacial Surgery. Boulder Oral Surgery practices in Boulder, CO. The NPI Number for Boulder Oral Surgery is 1467967307 and holds a License No. 9410 (Colorado).

The current practice location address for Boulder Oral Surgery is 3450 Penrose Pl Ste 120, Boulder, CO and can be reached out via phone at 303-447-9735 and via fax at 303-447-9735.

Location: 3450 Penrose Pl Ste 120, Boulder, CO, 80301-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467967307
Provider Name
Boulder Oral Surgery
Credential
Provider Entity Type
Organization
Address
3450 Penrose Pl Ste 120, Boulder, CO, 80301-1800
Phone Number
303-447-9735
Fax Number
303-447-9735
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3450 Penrose Pl Ste 120
City
Boulder
State
Colorado
Zip
80301-1800
Phone Number
303-447-9735
Fax Number
303-447-9735
person
Provider Business Mailing Address Details
Address
3450 Penrose Pl Ste 120
City
Boulder
State
Colorado
Zip
80301-1800
Phone Number
303-447-9735
Fax Number
303-447-9735
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
9410 (Colorado)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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