| Aesthetic & Maxillofacial Associates | |
|
1610 Canyon Blvd Boulder CO 80302-5407 | |
| (303) 938-0130 | |
| (303) 245-0405 |
| Full Name | Aesthetic & Maxillofacial Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1610 Canyon Blvd, Boulder, Colorado |
| Authorized Official Name and Position | Paul Charles Madlock (DOCTOR) |
| Authorized Official Contact | 7208788999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic & Maxillofacial Associates 1610 Canyon Blvd Boulder CO 80302-5407 Ph: (303) 938-0130 | Aesthetic & Maxillofacial Associates 1610 Canyon Blvd Boulder CO 80302-5407 Ph: (303) 938-0130 |
| NPI Number | 1083868988 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083868988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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