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Tequila Sunrise Boulder Pllc
General Practice Dentistry in Boulder, Colorado
NPI 1518561042

Tequila Sunrise Boulder Pllc is a General Practice Dentistry based in Boulder, CO and is specialized in General Practice. Tequila Sunrise Boulder Pllc practices in Boulder, CO. The NPI Number for Tequila Sunrise Boulder Pllc is 1518561042 and holds a License No. (Colorado).

The current practice location address for Tequila Sunrise Boulder Pllc is 4150 Darley Ave Ste 7, Boulder, CO and can be reached out via phone at 303-494-1550.

Location: 4150 Darley Ave Ste 7, Boulder, CO, 80305-6537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518561042
Provider Name
Tequila Sunrise Boulder Pllc
Credential
Provider Entity Type
Organization
Address
4150 Darley Ave Ste 7, Boulder, CO, 80305-6537
Phone Number
303-494-1550
Fax Number
Provider Enumeration Date
11/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DEN0202080 01 CO DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4150 Darley Ave Ste 7
City
Boulder
State
Colorado
Zip
80305-6537
Phone Number
303-494-1550
Fax Number
person
Provider Business Mailing Address Details
Address
4150 Darley Ave Ste 7
City
Boulder
State
Colorado
Zip
80305-6537
Phone Number
303-494-1550
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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