| Jana A. Ikeda, DDS, PC | |
|
805 S Broadway St Ste 210 Boulder CO 80305-5972 | |
| (303) 499-0558 | |
| Not Available |
| Full Name | Jana A. Ikeda, DDS, PC |
|---|---|
| Speciality | Dentist |
| Location | 805 S Broadway St Ste 210, Boulder, Colorado |
| Authorized Official Name and Position | Jana Ikeda (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3034990558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jana A. Ikeda, DDS, PC 805 S Broadway St Ste 210 Boulder CO 80305-5972 Ph: (303) 499-0558 | Jana A. Ikeda, DDS, PC 805 S Broadway St Ste 210 Boulder CO 80305-5972 Ph: (303) 499-0558 |
| NPI Number | 1568854271 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568854271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7636 (Colorado) | Primary |
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