Alpha Dental Care Ix PC
Dentist in Boulder, CO. Organization (NPI-2).
NPI number1831114347
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1831114347
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Dental Care Ix PC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5916 | CO | Yes |
Practice location
1900 Folsom StSuite 202
Boulder, CO 80302
Phone 303-447-2281 · Fax 303-447-2285
Mailing address
1900 Folsom StSuite 202
Boulder, CO 80302
Phone 303-447-2281 · Fax 303-447-2285
Authorized official
Raymond Clinton Roper
President
3034472281
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