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South Boulder Pediatric Dentistry
Pediatric Dentist in Boulder, Colorado
NPI 1972287217

South Boulder Pediatric Dentistry is a Pediatric Dentist based in Boulder, CO and is specialized in Pediatric Dentistry. South Boulder Pediatric Dentistry practices in Boulder, CO. The NPI Number for South Boulder Pediatric Dentistry is 1972287217 and holds a License No. (Colorado).

The current practice location address for South Boulder Pediatric Dentistry is 805 S Broadway St Ste 103, Boulder, CO and can be reached out via phone at 720-441-2974.

Location: 805 S Broadway St Ste 103, Boulder, CO, 80305-3342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972287217
Provider Name
South Boulder Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
805 S Broadway St Ste 103, Boulder, CO, 80305-3342
Phone Number
720-441-2974
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
805 S Broadway St Ste 103
City
Boulder
State
Colorado
Zip
80305-5972
Phone Number
720-441-2974
Fax Number
person
Provider Business Mailing Address Details
Address
805 S Broadway St Ste 103
City
Boulder
State
Colorado
Zip
80305-5972
Phone Number
720-441-2974
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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