Individual
DR. LUKE VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 28TH ST UNIT 4F, BOULDER, CO 80301-1142
(574) 721-2039
Mailing address
2100 28TH ST UNIT 4F, BOULDER, CO 80301-1142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204717
CO
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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