| Alpha Dental Care Ix Pc | |
|
1900 Folsom St Suite 202 Boulder CO 80302 | |
| (303) 447-2281 | |
| (303) 447-2285 |
| Full Name | Alpha Dental Care Ix Pc |
|---|---|
| Speciality | Dentist |
| Location | 1900 Folsom St, Boulder, Colorado |
| Authorized Official Name and Position | Raymond Clinton Roper (PRESIDENT) |
| Authorized Official Contact | 3034472281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Dental Care Ix Pc 1900 Folsom St Suite 202 Boulder CO 80302 Ph: (303) 447-2281 | Alpha Dental Care Ix Pc 1900 Folsom St Suite 202 Boulder CO 80302 Ph: (303) 447-2281 |
| NPI Number | 1831114347 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831114347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5916 (Colorado) | Primary |
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