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Organization
INTEGRITY DENTAL OF BOULDER, LTD
Active
Organization
INTEGRITY DENTAL OF BOULDER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORBETT W SUMMERS II (PRESIDENT)
(303) 442-6141
Entity
Organization
Contact information
Practice address
777 29TH ST, STE. #300, BOULDER, CO 80303-2358
(303) 442-6141
(303) 545-5669
Mailing address
305 IRWIN PL, ERIE, CO 80516-6554
(303) 442-6141
(303) 545-5669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5129
CO
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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