# INTEGRITY DENTAL OF BOULDER, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790141539
- **Authorized official:** CORBETT W SUMMERS II (PRESIDENT)
- **Authorized official phone:** (303) 442-6141

## Contact information

- **Practice address:** 777 29TH ST, STE. \#300, BOULDER, CO 80303-2358
- **Practice address phone:** (303) 442-6141
- **Practice address fax:** (303) 545-5669
- **Mailing address:** 305 IRWIN PL, ERIE, CO 80516-6554
- **Mailing address phone:** (303) 442-6141
- **Mailing address fax:** (303) 545-5669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5129 | CO | Yes |

## Other

- **Enumeration date:** 01/09/2016
- **Last updated:** 01/09/2016